Jill L Grivetti, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

163905 Issued in CO

Practice address

280 Exempla Cir
Rock Creek Medical Offices
Lafayette, CO 80026-3370

Phone

(720) 536-6806

NPI assigned

Mar 28, 2008

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

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": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1174795256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 24TH AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038140",
            "telephone_number": "303-772-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 EXEMPLA CIR",
            "address_2": "ROCK CREEK MEDICAL OFFICES",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263370",
            "telephone_number": "720-536-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIVETTI",
        "first_name": "JILL",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "163905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Lynell Green, M.D.
• Jacqueline Green, DPT
• Michelle Green, DC
• Teresa Lynn Gregersen, NLC
• Josephine Anna Griego, FNP-C
• Blake Evans Grogan, PHARM.D
• Jacklyn K Gronewold
• Cynthia F Gross
• David M Grosser, MD
• John W Grudis, MD

• Registered Nurse in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.