Individual provider Active NPI

Geralyn C Retzel, LMP,

  • Psychiatric/Mental Health Registered Nurse
  • Pasco, WA
National Provider Identifier
1548560840
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN00084823 Issued in WA
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

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
RN00084823WAMDPsychiatric/Mental Health Registered Nurse
MA00015313WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.