Glade Southam, NP
NPI 1588654628 · Family Nurse Practitioner · Rexburg, ID
Glade Southam, NP is a Family Nurse Practitioner provider in Rexburg, ID (NPI 1588654628).
Provider details
- NPI number
- 1588654628
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- NP - 747A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-27
- Last updated
- 2007-10-01
Frequently asked questions
- What is Glade Southam's NPI number?
- Glade Southam's National Provider Identifier (NPI) is 1588654628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glade Southam's specialty?
- Glade Southam is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Glade Southam located?
- Glade Southam's practice location on file with NPPES is Byu - Idaho, Rexburg, ID 83460-2010.
- What is Glade Southam's phone number?
- The practice phone number listed in the NPPES registry for Glade Southam is (208) 496-1300.
- Is Glade Southam's NPI active?
- Yes — Glade Southam's NPI (1588654628) is active in the NPPES registry as of the last update on 2007-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.