Individual provider Active NPI

Amber Melissa Gretzner, R.N.

  • School Registered Nurse
  • Aiken, SC
National Provider Identifier
1013350305
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
218511 Issued in SC
Practice address
2050 Pine Log Rd
Aiken, SC 29803-5731
Phone
(803) 641-2740
Fax
(803) 641-2526
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 218511 SC Primary

Addresses

Primary practice location

2050 Pine Log Rd
Aiken, SC 29803-5731

Mailing address

2050 Pine Log Rd
Aiken, SC 29803-5731
Phone (803) 641-2740

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
218511SCMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1013350305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 PINE LOG RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035731",
            "telephone_number": "803-641-2740",
            "fax_number": "803-641-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 PINE LOG RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035731",
            "telephone_number": "803-641-2740",
            "fax_number": "803-641-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETZNER",
        "first_name": "AMBER",
        "middle_name": "MELISSA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "218511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.