COLLEEN GLENNON MD
NPI 1609638147
Student in an Organized Health Care Education/Training Program in Kansas City, MO
About Colleen Glennon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN GLENNON MD (NPI 1609638147) is an individual student in an organized health care education/training program in Kansas City, Missouri, licensed in Missouri (PENDING) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colleen Glennon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
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 Colleen Glennon's NPI number?
The NPI number for Colleen Glennon is 1609638147. It was assigned to this individual provider in the NPPES registry on January 30, 2024.
Where is Colleen Glennon located?
Colleen Glennon practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (816) 404-4175.
What is Colleen Glennon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Colleen Glennon enrolled in Medicare?
Yes. Colleen Glennon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Colleen Glennon was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Colleen Glennon, MD · NPI 1609638147
Student in an Organized Health Care Education/Training Program provider in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since January 30, 2024.
## Identity
- **NPI:** 1609638147 (Entity type: Individual)
- **Enumerated:** January 30, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2301 HOLMES ST, Kansas City, MO 64108-2640
- **Phone:** (816) 404-4175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609638147) · Data from the CMS NPPES public registry.