Individual provider Active NPI

Gretchen Halley, R.D.

  • Registered Dietitian
  • Cheyenne, WY
National Provider Identifier
1598072811
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
955078
Practice address
421 E 17TH St
Cheyenne, WY 82001-4609
Phone
(307) 633-6114
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 955078 Primary

Addresses

Primary practice location

421 E 17TH St
Cheyenne, WY 82001-4609

Mailing address

421 E 17TH St
Cheyenne, WY 82001-4609
Phone (307) 633-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, WI, IA, DC5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20250327000909 TX Practitioner - Registered Dietitian Or Nutrition Professional 7618160219 Reassigns benefits to 2 organizations
I20250411002604 AZ Practitioner - Registered Dietitian Or Nutrition Professional 7618160219 Reassigns benefits to 3 organizations
I20250415003345 WI Practitioner - Registered Dietitian Or Nutrition Professional 7618160219 Reassigns benefits to 1 organization
I20250523000727 IA Practitioner - Registered Dietitian Or Nutrition Professional 7618160219 Reassigns benefits to 2 organizations
I20250527001338 DC Practitioner - Registered Dietitian Or Nutrition Professional 7618160219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

130 E Congress St
Suite 200 139
Tucson, AZ 85701-1708
Phone (724) 307-5926

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54WYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Uhling Consulting, LLC Dietitian, Registered CurrentSince Feb 14, 2025 Accepting new patients
Surely Health, Inc. Dietitian, Registered CurrentSince Jan 19, 2025 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Jan 2, 2025 Accepting new patients

Locations

20325 N 51st Ave
Ste 126
Glendale, AZ 85308
Phone (602) 341-5248

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

130 E Congress St
Ste 213
Tucson, AZ 85701

1120 Depot Ln SE
Ste 100
Cedar Rapids, IA 52401
Phone (319) 237-3193

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1598072811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014609",
            "telephone_number": "307-633-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014609",
            "telephone_number": "307-633-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEY",
        "first_name": "GRETCHEN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "955078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.