NEELY A GLADD FNP NPI 1043321672

NPI Information

  • NPI: 1043321672
  • Provider Name: NEELY A GLADD, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 524 BRANCH CT
    COLUMBIA CITY, IN
    ZIP 46725
  • Phone: (260) 244-6203

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NPI Details

Neely A Gladd, FNP is a family nurse practitioner in Columbia City, IN. Neely A Gladd, FNP NPI is 1043321672. 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:

524 BRANCH CT
COLUMBIA CITY, IN
ZIP 46725-323
Phone: (260) 244-6203
Fax: (260) 244-5212

The NPI 1043321672 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 4/18/2008.

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
1363LF0000XNurse PractitionerFamily71001997AINDIANAYes

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
1351972384039OTHERINDIANATRICARE
2069860MMMMEDICARE PININDIANA
3000000528916OTHERINDIANAANTHEM
4Q58233MEDICARE UPININDIANA
5070900 VMEDICARE PININDIANA

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: 3/30/2025

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