Active NPI
Gretchen Cornwall Berni, ARNP
- Family Nurse Practitioner
- Bremerton, WA
National Provider Identifier
1013184373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- MD00015888
- Practice address
- 2709 Hemlock St
Bremerton, WA 98310-2623 - Phone
- (360) 782-6000
- Fax
- (360) 478-7240
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | MD00015888 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP30000663 | WA |
Addresses
Primary practice location
2709 Hemlock St
Bremerton, WA 98310-2623
Mailing address
2709 Hemlock St
Bremerton, WA 98310-2623
Phone (360) 782-6000
Other practice location 1
345 6th St
Suite 300
Bremerton, WA 98337-1858
Phone (360) 337-5235
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016291 | Medicaid | WA | |
| AP30000663 | Other | WA | ARNP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gberni218142@fhsce.catholichealth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00015888 | WA | MD | Family Nurse Practitioner |
Interoperability endpoints
- gberni218142@fhsce.catholichealth.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1013184373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 HEMLOCK ST",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983102623",
"telephone_number": "360-782-6000",
"fax_number": "360-478-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 HEMLOCK ST",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983102623",
"telephone_number": "360-782-6000",
"fax_number": "360-478-7240"
}
],
"practiceLocations": [
{
"address_1": "345 6th St",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Bremerton",
"state": "WA",
"postal_code": "983371858",
"country_code": "US",
"telephone_number": "360-337-5235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNI",
"first_name": "GRETCHEN",
"middle_name": "CORNWALL",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "MD00015888",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30000663",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2016291",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "AP30000663",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gberni218142@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2709 Hemlock St",
"city": "Bremerton",
"state": "WA",
"country_code": "US",
"postal_code": "983102623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.