Individual provider Active NPI

Gretchen Lee Hoover, RN MSN FNPC

  • Family Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1073510079
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN161261 Issued in OH
Practice address
4121 N King Rd
Kingston Care Center
Sylvania, OH 43528
Phone
(419) 517-8200
Fax
(419) 517-8208
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN161261 OH Primary
Family Nurse Practitioner 363LF0000X NP04678 OH

Addresses

Primary practice location

4121 N King Rd
Kingston Care Center
Sylvania, OH 43528

Mailing address

10834 Lakeview Dr
Whitehouse, OH 43571
Phone (419) 351-6836

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP04678OHMDFamily Nurse Practitioner
RN161261OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1073510079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10834 LAKEVIEW DR",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "43571",
            "telephone_number": "419-351-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 N KING RD",
            "address_2": "KINGSTON CARE CENTER",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43528",
            "telephone_number": "419-517-8200",
            "fax_number": "419-517-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "GRETCHEN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RN MSN FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN161261",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP04678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.