Active NPI
Gretta Snyder Fors, BSN, MSN, RN, NP-C
- Family Nurse Practitioner
- Provo, UT
National Provider Identifier
1649394743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 360925-8900
- Practice address
- 1750 North Wymount Terrace Drive
Provo, UT 84602-4800 - Phone
- (801) 422-2771
- Fax
- (801) 422-0764
- NPI assigned
- Mar 16, 2007
- Last updated
- Aug 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP 15425 | CA | |
| Family Nurse Practitioner | 363LF0000X | 360925-8900 | UT | Primary |
Addresses
Primary practice location
1750 North Wymount Terrace Drive
Provo, UT 84602-4800
Mailing address
974 E 620 N
Provo, UT 84606-2004
Phone (626) 628-5037
Other names 1
- Gretchen Huff Snyder
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
- Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 15425 | CA | MD | Family Nurse Practitioner |
| 360925-8900 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fors Functional Medicine | Current | Accepting new patients |
Interoperability endpoints
- gretta.fors@259200744882180.direct.elationemr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fors Health Coaching
- Women's Health Nurse Practitioner
- Boise, ID
- NPI 1962267575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1649394743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 E 620 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846062004",
"telephone_number": "626-628-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 NORTH WYMOUNT TERRACE DRIVE",
"city": "PROVO",
"state": "UT",
"postal_code": "846024800",
"telephone_number": "801-422-2771",
"fax_number": "801-422-0764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORS",
"first_name": "GRETTA",
"middle_name": "SNYDER",
"name_prefix": "Mrs.",
"credential": "BSN, MSN, RN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP 15425",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "360925-8900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRETCHEN",
"last_name": "SNYDER",
"middle_name": "HUFF",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.