MS. AMY BRADSHAW GLASS ACNP NPI 1578718342

NPI Information

  • NPI: 1578718342
  • Provider Name: MS. AMY BRADSHAW GLASS, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1940 ALCOA HWY
    SUITE E - 210
    KNOXVILLE, TN
    ZIP 37920
  • Phone: (865) 524-7471

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NPI Details

MS. Amy Bradshaw Glass, ACNP is an acute care nurse practitioner in Knoxville, TN with 18 years of experience. MS. Amy Bradshaw Glass, ACNP NPI is 1578718342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

1940 ALCOA HWY
SUITE E - 210
KNOXVILLE, TN
ZIP 37920-244
Phone: (865) 524-7471
Fax: (865) 305-6563

The NPI 1578718342 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 11/20/2008 and was last updated on 12/5/2012.

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
1163W00000XRegistered Nurse150292TENNESSEENo
2363LA2100XNurse PractitionerAcute Care13795TENNESSEEYes

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
11031509643MEDICARE PINTENNESSEE
21514111MEDICAIDTENNESSEE

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

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