Active NPI
Gretchen Mann, M.D.
- Military Health Care Provider
- Denver, CO
National Provider Identifier
1295083038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 38205
- Practice address
- 621 17TH St., #479
Denver Military Entrance and Processing Station
Denver, CO 80293-0621 - Phone
- (303) 623-1020
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 38205 | KY | Primary |
Addresses
Primary practice location
621 17TH St., #479
Denver Military Entrance and Processing Station
Denver, CO 80293-0621
Mailing address
621 17TH St., #479
Denver Military Entrance and Processing Station
Denver, CO 80293-0621
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38205 | KY | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1295083038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 17TH ST., #479",
"address_2": "DENVER MILITARY ENTRANCE AND PROCESSING STATION",
"city": "DENVER",
"state": "CO",
"postal_code": "802930621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 17TH ST., #479",
"address_2": "DENVER MILITARY ENTRANCE AND PROCESSING STATION",
"city": "DENVER",
"state": "CO",
"postal_code": "802930621",
"telephone_number": "303-623-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "GRETCHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "KY",
"license": "38205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.