Individual provider Active NPI

Gretchen Marie Vansteenwyk-Marsh, D.O.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1013237619
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6310 Issued in CA
Practice address
1281 Terminal Way Ste 114
Reno, NV 89502-3246
Phone
(314) 888-5233
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6310 CA Primary

Addresses

Primary practice location

1281 Terminal Way Ste 114
Reno, NV 89502-3246

Mailing address

748 S Meadows Pkwy # 9312
Reno, NV 89521-3861
Phone (530) 671-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CT, NV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110906000308 CA Practitioner - Family Practice 7618147406
I20200612002060 CT Practitioner - Family Practice 7618147406
I20201207003184 NV Practitioner - Family Practice 7618147406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Rideout Memorial Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1013237619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 S MEADOWS PKWY # 9312",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213861",
            "telephone_number": "530-671-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 TERMINAL WAY STE 114",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023246",
            "telephone_number": "314-888-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSTEENWYK-MARSH",
        "first_name": "GRETCHEN",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.