KATHLEEN GLENN (NPI# 1932738150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932738150 |
| Entity Type | Individual |
| Full Name | KATHLEEN GLENN |
| Credential | CRNP |
| Practice Address |
252 S 4th St Lebanon PA 17042-6111 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178512613 |
| Practice Fax Number | 7178512602 |
| Mailing Telephone | 1785126137 |
| Mailing Fax Number | 7178512602 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
SP016649 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386177749 | Kathleen A Glenn | Physician Assistant | 2821 New Hartford Rd, Owensboro, KY 42303-1320 | 2017-04-04 |
| 1760772198 | Kathleen Destefano Glenn | Pediatrics | 196 W Sproul Rd, Healthplex Suite 205, Springfield, PA 19064-2045 | 2011-04-19 |
| 1316150428 | Kathleen J Glenn | Physician Assistant | 23 Hammond Ln, Plattsburgh, NY 12901-2000 | 2007-05-07 |
| Street Address |
252 S 4TH ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309609 | Stephen R. Longo | Anesthesiology | 252 S 4th St, Lebanon, PA 17042-6111 | 2005-10-07 |
| 1104423219 | Adaelsy M Sanchez | Nurse's Aide | 252 S 4th St, Lebanon, PA 17042-6123 | 2020-10-02 |
| 1306464847 | Catherine Waselkov | Nurse Practitioner | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-07-10 |
| 1689291122 | Margo Renee Keller | Physician Assistant | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-07-01 |
| 1336777507 | Lindsey Donat | Speech-Language Pathologist | 252 S 4th St, Lebanon, PA 17042-6111 | 2020-04-01 |
| 1801435714 | Kathryn Ann Ertel | Physician Assistant | 252 S 4th St, Lebanon, PA 17042-6111 | 2019-12-26 |
| 1629622204 | Kelly Ann Wheeler | Nurse Practitioner | 252 S 4th St, Lebanon, PA 17042-6111 | 2019-07-31 |
| 1083105696 | Ashlee Wheeler | Nurse Anesthetist, Certified Registered | 252 S 4th St, Lebanon, PA 17042-6111 | 2018-05-21 |
| 1073001319 | Devin Knisely | Registered Nurse | 252 S 4th St, Lebanon, PA 17042 | 2018-04-23 |
| 1720504152 | Elizabeth A Petcov | Hospitalist | 252 S 4th St, Lebanon, PA 17042-6111 | 2017-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124006598 | Thurman Allen Merritt | Pediatrics | 701 N 5th St Unit C1020, Lebanon, OR 97355-9599 | 2006-01-05 |
| 1891962916 | Neetu Singh | Pediatrics | 1 Medical Center Dr, Dhmc Department of Neonatology, Lebanon, NH 03756-1000 | 2008-05-08 |
| 1942306105 | Paul Defranco | Pediatrics | 420 Loretto Rd, Ste 200, Lebanon, KY 40033-1628 | 2006-09-15 |
| 1972611911 | Gautham K Suresh | Pediatrics | 1 Medical Center Dr, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756-1000 | 2006-08-29 |
| 1871600569 | George Alexiy Little | Pediatrics | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-25 |
| 1497863948 | Robert A. Darnall Jr. | Pediatrics | 1 Medical Center Dr, Dhmc. Department of Pediatrics, Lebanon, NH 03756-1000 | 2006-08-25 |
| 1407963648 | William Horton Edwards | Pediatrics | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-24 |
| 1164489423 | Steven Alan Ringer | Pediatrics | 1 Medical Center Dr, Dhmc/neonatology, Lebanon, NH 03756-1000 | 2006-04-28 |
| 1891750717 | Juliette Carr Madan | Pediatrics | 1 Medical Center Dr, Dhmc Division of Neonatology, Lebanon, NH 03756-1000 | 2006-04-20 |
| 1750379582 | James E Gray | Pediatrics | 1 Medical Center Dr, Dartmouth Hitchcock - Neonatology, Lebanon, NH 03756-1000 | 2005-10-06 |
| Find all providers in LEBANON | ||||
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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.