SHANICE GLASCO MD
NPI 1730709122
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Q: What is Shanice Glasco's NPI number?

The NPI number for Shanice Glasco is 1730709122. It was assigned to this individual provider in the NPPES registry on April 26, 2020.

Q: What is Shanice Glasco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shanice Glasco was last updated on April 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 26, 2020PECOS Enrolled

118 KNOX WAY, CHAPEL HILL, NC 27516(984) 215-5900 Get Directions Write a Review

NPPES record last updated: April 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shanice Glasco Md NPPES

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

SHANICE GLASCO MD (NPI 1730709122) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730709122

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHANICE GLASCOCredential: MD

Location Address118 KNOX WAYChapel Hill, NC 27516-6610

Mailing AddressPediatric Education Office Cb 7593Chapel Hill, NC 27599-0001 · (919) 966-3172 · Fax (919) 966-8419

Phone(984) 215-5900

Sole ProprietorYes

Enumeration DateApril 26, 2020

NPPES CertifiedApril 26, 2020

✔ NPI 1730709122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

118 KNOX WAY, Chapel Hill, NC 27516

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanice Glasco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DEASIA SYTEENA WITHERSPOON MD

Student in an Organized Health Care Education/Training Program