ZACH GLENN (NPI# 1932730082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932730082 |
| Entity Type | Individual |
| Full Name | ZACH GLENN |
| Credential | NP |
| Practice Address |
206 Oxford Rd New Albany MS 38652-3115 |
| Practice Telephone | 6625342227 |
| Practice Fax Number | 6622696440 |
| Mailing Telephone | 6625342227 |
| Mailing Fax Number | 6622696440 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 903810 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
206 OXFORD RD |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144293655 | David Bradley Robbins | Physician Assistant | 206 Oxford Rd, New Albany, MS 38652-3115 | 2006-02-07 |
| 1528603859 | Daniel Murry Eddings | Nurse Practitioner | 206 Oxford Rd, New Albany, MS 38652-3115 | 2019-11-11 |
| 1770007882 | Kma Pharmacy, LLC | Pharmacy | 206 Oxford Rd, New Albany, MS 38652-3115 | 2017-07-31 |
| 1679018410 | Cassie Allred | Physician Assistant | 206 Oxford Rd, New Albany, MS 38652-3115 | 2017-01-04 |
| 1679025787 | Jeffrey Pipkin | Nurse Practitioner | 206 Oxford Rd, New Albany, MS 38652-3115 | 2016-10-25 |
| 1679029276 | Alex T Hill | Registered Nurse | 206 Oxford Rd, New Albany, MS 38652-3115 | 2016-09-01 |
| 1598932048 | Orthoone Orthopaedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 206 Oxford Rd, New Albany, MS 38652-3115 | 2008-05-14 |
| 1972791978 | Mitias Orthopaedics, Pllc | Orthopaedic Surgery | 206 Oxford Rd, New Albany, MS 38652 | 2007-10-04 |
| 1205020609 | Mitias Orthopaedics and Sports Medicine | Surgery | 206 Oxford Rd, New Albany, MS 38652-3115 | 2007-08-29 |
| 1790909414 | Michael Brady Page | Physician Assistant | 206 Oxford Rd, New Albany, MS 38652-3115 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032906 | Dawn Lechner | Nurse Practitioner | 2125 State St Ste 6, New Albany, IN 47150-4972 | 2020-01-07 |
| 1376019471 | Sonya Robbins Adkins | Nurse Practitioner | 1430 County Road 101, New Albany, MS 38652-9734 | 2018-10-17 |
| 1770836595 | Tamara E Jones | Nurse Practitioner | 3021 Brookehaven Rd, New Albany, IN 47150 | 2012-10-17 |
| 1164701173 | Leslie Walton Leffler | Nurse Practitioner | 108 W Daisy Ln, New Albany, IN 47150-4537 | 2011-08-08 |
| 1669407623 | Victoria Ann Miller | Nurse Practitioner | 7190 Hillmont Dr, New Albany, OH 43054-7024 | 2006-07-11 |
| 1639136732 | Deborah Milks | Nurse Practitioner | 153 West Main Street, Suite 100, New Albany, OH 43054 | 2006-05-01 |
| 1730142555 | Julia J Coddington | Nurse Practitioner | 2210 Green Valley Rd, Ste1, New Albany, IN 47150-4648 | 2006-04-11 |
| 1902874886 | Janet K Hollis | Nurse Practitioner | 1919 State St Ste 324, New Albany, IN 47150-6807 | 2006-03-08 |
| 1235128885 | Kathleen Kunkler | Nurse Practitioner | 7277 Smith's Mill Road, General Medical Consultants, Inc., New Albany, OH 43054 | 2005-10-17 |
| 1013515667 | Katelynn Pannell | Nurse Practitioner | 188 Starlyn Ave, New Albany, MS 38652-2436 | 2020-10-15 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.