Individual provider Active NPI

Gretta Lynn Irchirl

  • Case Manager/Care Coordinator
  • Houston, TX
National Provider Identifier
1518438100
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
15903047 Issued in TX
Practice address
519 N Sam Houston Pkwy E Ste 155
Houston, TX 77060-4061
Phone
(832) 943-4035
NPI assigned
Dec 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Case Manager/Care Coordinator 171M00000X 15903047 TX Primary

Addresses

Primary practice location

519 N Sam Houston Pkwy E Ste 155
Houston, TX 77060-4061

Mailing address

519 N Sam Houston Pkwy E Ste 155
Houston, TX 77060-4061
Phone (832) 943-4035

Other practice location 1

2109 Sawdust Rd Apt 22102
Spring, TX 77380-5704
Phone (832) 592-3853

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

State licenses

LicenseStateTypeSpecialty
15903047TXMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1518438100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N SAM HOUSTON PKWY E STE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604061",
            "telephone_number": "832-943-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N SAM HOUSTON PKWY E STE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604061",
            "telephone_number": "832-943-4035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Sawdust Rd Apt 22102",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773805704",
            "country_code": "US",
            "telephone_number": "832-592-3853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRCHIRL",
        "first_name": "GRETTA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-08",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "15903047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.