Active NPI
Gretchen Lee Hoover, RN MSN FNPC
- Family Nurse Practitioner
- Sylvania, OH
National Provider Identifier
1073510079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN161261
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NP04678 | OH | MD | Family Nurse Practitioner |
| RN161261 | OH | MD | Family 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.