Individual provider Active NPI

Gretta Snyder Fors, BSN, MSN, RN, NP-C

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1649394743
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
360925-8900 Issued in UT
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP 15425CAMDFamily Nurse Practitioner
360925-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fors Functional Medicine Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.