Individual provider Active NPI

Ashley Marie Grenz, MS, ATC, CA

  • Athletic Trainer
  • Herreid, SD
National Provider Identifier
1013341577
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0363 Issued in SD
Practice address
121 Main St N
Herreid, SD 57632-2115
Phone
(605) 437-2252
Fax
(605) 437-2508
NPI assigned
Sep 2, 2013
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0363 SD Primary

Addresses

Primary practice location

121 Main St N
Herreid, SD 57632-2115

Mailing address

31406 117TH St
Mound City, SD 57646-6402
Phone (605) 216-7411

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0363SDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Froehling Therapeutic Services, PC PastSince Feb 18, 2014 Accepting new patients
Volk Enterprises 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1013341577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31406 117TH ST",
            "city": "MOUND CITY",
            "state": "SD",
            "postal_code": "576466402",
            "telephone_number": "605-216-7411",
            "fax_number": "605-437-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN ST N",
            "city": "HERREID",
            "state": "SD",
            "postal_code": "576322115",
            "telephone_number": "605-437-2252",
            "fax_number": "605-437-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENZ",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC, CA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-02",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herreid, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.