GLENNIS CAROLYN ANDREWS , NPI 1518031426 — LOS ANGELES (CA)

NPI 1518031426

13+ Years Experience Individual

GLENNIS CAROLYN ANDREWS

11/20/2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1518031426
NPI NUMBER

About GLENNIS CAROLYN ANDREWS

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

GLENNIS CAROLYN ANDREWS is a provider established in LOS ANGELES, CA. The NPI number of GLENNIS CAROLYN ANDREWS is 1518031426 and was assigned on 11/20/2006. The practitioners primary taxonomy code is: 390200000X .

Mailing address

  • City: INGLEWOOD
  • State: CA
  • Postal code: 903013377
  • Phone: 3106710749
  • Address: 711 S FIR AVE
  • Address 2: APT. 8

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1518031426
  • Phone : 3106684356
  • Postalcode : 900593052
  • Address : 1720 E 120TH ST

Provider taxonomy - Student in an Organized Health Care Education/Training Program

  • Taxonomy code: 390200000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Contacts:

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  • GLENNIS CAROLYN ANDREWS
  • Address : 1720 E 120TH ST
  • Region : LOS ANGELES, CA
  • NPI : 1518031426
  • Phone : 3106684356
  • Postalcode : 900593052

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1720 E 120TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code900593052
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3106684356
The telephone number associated with the location address of the provider being identified.
NPI1518031426
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Provider Enumeration Date11/20/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)GLENNIS CAROLYN ANDREWS
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address711 S FIR AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressAPT. 8
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameINGLEWOOD
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code903013377
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3106710749
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1390200000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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