Gretta Hall Blythe, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

70351 Issued in NC

Practice address

5127 Boulware CT
Charlotte, NC 28277-9643

Phone

(704) 578-6323

Fax

(704) 846-3421

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Gretta Jane Hall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1063751576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 BOULWARE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779643",
            "telephone_number": "704-578-6323",
            "fax_number": "704-846-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 BOULWARE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779643",
            "telephone_number": "704-578-6323",
            "fax_number": "704-846-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "GRETTA",
        "middle_name": "HALL",
        "name_prefix": "Ms.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "70351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETTA",
            "last_name": "HALL",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John R Blumer, M.D.
• Christopher Everett Blunden, MD
• Deja Blunt, MD, MS
• Kristyn Bly, LCMHC
• Arleen M Blythe, LPTA
• Katie Lashanda Blythe, LCSWA
• BMH Connect
• Linda N/a Boakye-Agyemang, FNP-BC
• Akosua Owusuah Boakye-Yiadom, NP-C
• Lynn Amy Boardman, MD

• Lactation Consultant (Registered Nurse) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Lactation Consultant (Registered Nurse) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.