Individual provider Active NPI

Marcia Grieder, CRNA

  • Certified Registered Nurse Anesthetist
  • Wyomissing, PA
National Provider Identifier
1194821991
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN192213L Issued in PA
Practice address
2603 Kaiser Blvd
Wyomissing, PA 19610-3341
Phone
(610) 988-5089
Fax
(610) 988-5135
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN192213L PA Primary

Addresses

Primary practice location

2603 Kaiser Blvd
Wyomissing, PA 19610-3341

Mailing address

2603 Kaiser Blvd
Wyomissing, PA 19610-3341
Phone (610) 988-5089

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN192213LPAMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194821991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 KAISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103341",
            "telephone_number": "610-988-5089",
            "fax_number": "610-988-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KAISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103341",
            "telephone_number": "610-988-5089",
            "fax_number": "610-988-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEDER",
        "first_name": "MARCIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN192213L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.