Active NPI
Geralyn C Retzel, LMP,
- Psychiatric/Mental Health Registered Nurse
- Pasco, WA
National Provider Identifier
1548560840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN00084823
- Practice address
- 720 W Court St
Suite 8
Pasco, WA 99301-4178 - Phone
- (509) 545-6506
- Fax
- (509) 783-4455
- NPI assigned
- Nov 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN00084823 | WA | Primary |
| Massage Therapist | 225700000X | MA00015313 | WA |
Addresses
Primary practice location
720 W Court St
Suite 8
Pasco, WA 99301-4178
Mailing address
4107 W 17TH Ave
Kennewick, WA 99338-7302
Phone (509) 628-7321
Other names 1
- Geralyn C Retzel
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN00084823 | WA | MD | Psychiatric/Mental Health Registered Nurse |
| MA00015313 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Community Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225145105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1548560840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 W 17TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993387302",
"telephone_number": "509-628-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W COURT ST",
"address_2": "SUITE 8",
"city": "PASCO",
"state": "WA",
"postal_code": "993014178",
"telephone_number": "509-545-6506",
"fax_number": "509-783-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETZEL",
"first_name": "GERALYN",
"middle_name": "C",
"credential": "LMP,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WA",
"license": "RN00084823",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00015313",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GERALYN",
"last_name": "RETZEL",
"middle_name": "C",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.