Individual provider Active NPI

Marilyn Griebel, CNP

  • Nurse Practitioner
  • Cortez, CO
National Provider Identifier
1649249434
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
46456 Issued in CO
Practice address
33 N Elm St
Cortez, CO 81321-3105
Phone
(970) 565-8556
Fax
(970) 564-1134
NPI assigned
Mar 15, 2006
Last updated
Nov 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 46456 CO Primary

Addresses

Primary practice location

33 N Elm St
Cortez, CO 81321-3105

Mailing address

PO Box 278
Rico, CO 81332-0278
Phone (970) 967-7201

Other identifiers 1

IdentifierTypeStateIssuer
07464563MedicaidCO

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)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
46456COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dolores Medical Center Past Accepting new patients
Dolores Medical Center PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1649249434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "RICO",
            "state": "CO",
            "postal_code": "813320278",
            "telephone_number": "970-967-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N ELM ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213105",
            "telephone_number": "970-565-8556",
            "fax_number": "970-564-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEBEL",
        "first_name": "MARILYN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "46456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07464563",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.