SHAYNA LYNNE GLISTA CNP FNP NPI 1679125876

NPI Information

NPI: 1679125876
Provider Name: SHAYNA LYNNE GLISTA, CNP, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ADVANCED RECOVERY CONCEPTS, LLC

PECOS Registration: Yes

Address:
25700 SCIENCE PARK DR STE 210
BEACHWOOD, OH
ZIP 44122
Phone: (216) 450-1613
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Shayna Lynne Glista, CNP, FNP is a psychiatric/mental health nurse practitioner in Beachwood, OH with 5 years of experience. Shayna Lynne Glista, CNP, FNP NPI is 1679125876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO MEDICAL UNIVERSITY
Graduation Year:2019

The provider's business location address is:

25700 SCIENCE PARK DR STE 210
BEACHWOOD, OH
ZIP 44122-328
Phone: (216) 450-1613
Fax: (216) 450-1614

The NPI 1679125876 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 7/9/2019 and was last updated on 12/16/2021.

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
1	363LF0000X	Nurse Practitioner	Family	APRN.CNP.024889	OHIO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN.CNP.024889	OHIO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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