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MR. JERRY EDWARD GLATTFELT CRNA
NPI 1073594461
Nurse Anesthetist, Certified Registered in Travis Afb, CA

Active since November 11, 2005
100 BODIN CIR, 60 TH MSGS/SGCSA, TRAVIS AFB, CA 94535(707) 423-5370 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jerry Edward Glattfelt Crna NPPES

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

MR. JERRY EDWARD GLATTFELT CRNA (NPI 1073594461) is an individual nurse anesthetist, certified registered in Travis Afb, California, licensed in Illinois (041-232449) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1073594461
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JERRY EDWARD GLATTFELTCredential: CRNA
Location Address100 BODIN CIR, 60 TH MSGS/SGCSATravis Afb, CA 94535-1804
Mailing Address1131 Park LnSuisun City, CA 94585-2878 · (707) 428-4272
Phone(707) 423-5370
Sole ProprietorNo
Enumeration DateNovember 11, 2005
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1073594461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in IL · 041-232449✔ Licensed in IL · 209-003657 APN LICEN
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
100 BODIN CIR, Travis Afb, CA 94535
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OMAR P MULLA MD
Anesthesiology
100 BODIN CIR, DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535
Solano County (707) 423-3578
MRS. SHEILA SCOTT
Occupational Therapist
100 BODIN CIR, ATTN: OCCUPATIONAL THERAPY
TRAVIS AFB, CA 94535
Solano County (707) 423-7822
LAWRENCE JOSEPH HAAS LCSW
Social Worker (Clinical)
100 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 416-8642

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 Jerry Glattfelt's NPI number?

The NPI number for Jerry Glattfelt is 1073594461. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Jerry Glattfelt located?

Jerry Glattfelt practices at 100 Bodin Cir 60 Th Msgs/Sgcsa, Travis Afb, CA 94535. The listed phone number is (707) 423-5370.

What is Jerry Glattfelt's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Jerry Glattfelt was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.