Individual provider Active NPI

Gretchen Ann Rozelle, RN

  • Diabetes Educator Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1548433246
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
RN066258 Issued in AZ
Practice address
2500 E Van Buren St
BLDG F Rehabilitation
Phoenix, AZ 85008-6037
Phone
(602) 220-6048
Fax
(602) 629-7335
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X RN066258 AZ Primary

Addresses

Primary practice location

2500 E Van Buren St
BLDG F Rehabilitation
Phoenix, AZ 85008-6037

Mailing address

2500 E Van Buren St
BLDG F Rehabilitation
Phoenix, AZ 85008-6037
Phone (602) 220-6048

Other identifiers 1

IdentifierTypeStateIssuer
RN066258OtherAZARIZONA REGISTERED NURSE

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN066258AZMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1548433246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E VAN BUREN ST",
            "address_2": "BLDG F REHABILITATION",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086037",
            "telephone_number": "602-220-6048",
            "fax_number": "602-629-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E VAN BUREN ST",
            "address_2": "BLDG F REHABILITATION",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086037",
            "telephone_number": "602-220-6048",
            "fax_number": "602-629-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELLE",
        "first_name": "GRETCHEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AZ",
            "license": "RN066258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA REGISTERED NURSE",
            "identifier": "RN066258",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.