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JEREMY FORREST GLEASON
NPI 1063171064
Military Health Care Provider in Joint Base Pearl Harbor- Hickam, HI

Active since December 17, 2021
45 WORCHESTER AVE, JOINT BASE PEARL HARBOR- HICKAM, HI 96853(361) 362-8275 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Forrest Gleason NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY FORREST GLEASON (NPI 1063171064) is an individual military health care provider provider in Joint Base Pearl Harbor- Hickam, Hawaii and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1063171064
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameJEREMY FORREST GLEASON
Location Address45 WORCHESTER AVEJoint Base Pearl Harbor- Hickam, HI 96853
Mailing Address1778 Ala Moana Blvd Apt 2517Honolulu, HI 96815-1624 · (361) 362-8275
Phone(361) 362-8275
Sole ProprietorNo
Enumeration DateDecember 17, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1063171064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X
45 WORCHESTER AVE, Joint Base Pearl Harbor- Hickam, HI 96853
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Gleason's NPI number?

The NPI number for Jeremy Gleason is 1063171064. It was assigned to this individual provider in the NPPES registry on December 17, 2021.

Where is Jeremy Gleason located?

Jeremy Gleason practices at 45 Worchester Ave, Joint Base Pearl Harbor- Hickam, HI 96853. The listed phone number is (361) 362-8275.

What is Jeremy Gleason's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jeremy Gleason was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.