Individual provider Active NPI

Gregory Foltz, RN, NP

  • Nurse Practitioner
  • Adrian, MI
National Provider Identifier
1013627561
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704256762NSA220YP Issued in MI
Practice address
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone
(517) 577-0000
NPI assigned
Nov 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704256762NSA220YP MI Primary

Addresses

Primary practice location

5640 N Adrian Hwy
Adrian, MI 49221-8318

Mailing address

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (517) 577-0000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greg.foltz@promedica.org Health Information Exchange (HIE)

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704256762NSA220YPMIMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: gfoltz861921@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1013627561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 N ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218318",
            "telephone_number": "517-577-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 N ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218318",
            "telephone_number": "517-577-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLTZ",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704256762NSA220YP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greg.foltz@promedica.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "5640 N Adrian Hwy",
            "city": "Adrian",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492218318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.