Active NPI
Nicholas Robert Greblick
- Student in an Organized Health Care Education/Training Program
- Tuscaloosa, AL
National Provider Identifier
1508775198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 601 11TH St Apt 212
Tuscaloosa, AL 35401-3192 - Phone
- (617) 678-6177
- NPI assigned
- Sep 1, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | AL | Primary |
Addresses
Primary practice location
601 11TH St Apt 212
Tuscaloosa, AL 35401-3192
Mailing address
4326 Amethyst Rd
Chattanooga, TN 37419-2442
Phone (617) 678-6177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1508775198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4326 AMETHYST RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374192442",
"telephone_number": "617-678-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 11TH ST APT 212",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354013192",
"telephone_number": "617-678-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREBLICK",
"first_name": "NICHOLAS",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.