Gretel Wilson Manley

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

212852 Issued in TX

Practice address

1008 Pullman Dr
Saginaw, TX 76131-4928

Phone

(817) 528-3065

NPI assigned

Oct 29, 2019

Last updated

Oct 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1114561537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 PULLMAN DR",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314928",
            "telephone_number": "817-528-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 PULLMAN DR",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314928",
            "telephone_number": "817-528-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "GRETEL",
        "middle_name": "WILSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "212852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polly Lee
• Jennifer Marie Libling, D.D.S.
• Longsworth Physical Therapy and Wellness (PhysioPhyx Physical Therapy)
• Amelia Sharmaine Longsworth
• Lustig and Young Orthodontics (Lustig & Young Orthodontics)
• Caitlin Martin
• Matthew W. Cerniglia, DPM, PA
• Jennifer McCormick
• Cara McGarrah, DDS
• Melody Ann McLaughlin, APRN, RN

• Licensed Vocational Nurse in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.