MRS. GLENDA SUE PATREDIS CPNP NPI 1003898529

NPI Information

  • NPI: 1003898529
  • Provider Name: MRS. GLENDA SUE PATREDIS, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 5201 HARRY HINES BLVD
    DALLAS, TX
    ZIP 75235
  • Phone: (972) 414-1823

Map and Directions

Get Directions

NPI Details

MRS. Glenda Sue Patredis, CPNP is a pediatrics nurse practitioner in Dallas, TX. MRS. Glenda Sue Patredis, CPNP NPI is 1003898529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5201 HARRY HINES BLVD
DALLAS, TX
ZIP 75235-708
Phone: (972) 414-1823

The enumeration date for this NPI number is 11/18/2005 and was last updated on 1/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics441738TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1138982703MEDICAIDTEXAS
2138982710MEDICAIDTEXAS
3138982707MEDICAIDTEXAS
4138982713MEDICAIDTEXAS
58D9763MEDICARE PINTEXAS
6138982704MEDICAIDTEXAS
7138982716MEDICAIDTEXAS
8138982702MEDICAIDTEXAS
9138982715MEDICAIDTEXAS
10S83338MEDICARE UPINTEXAS
11138982701MEDICAIDTEXAS
12138982708MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.