Active NPI
Pretrescia Marie Grubbs, DNP, ACNP, APRN
- Acute Care Nurse Practitioner
- Little Rock, AR
National Provider Identifier
1720230675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- A01609
- Practice address
- CHI-St. Vincent Infirmary-Hospitalist Group
2 Saint Vincent Circle
Little Rock, AR 72205 - Phone
- (501) 552-3368
- Fax
- (501) 552-4555
- NPI assigned
- Oct 22, 2008
- Last updated
- Feb 19, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | AO1609 | AR | |
| Acute Care Nurse Practitioner | 363LA2100X | A01609 | AR | Primary |
Addresses
Primary practice location
CHI-St. Vincent Infirmary-Hospitalist Group
2 Saint Vincent Circle
Little Rock, AR 72205
Mailing address
2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-3368
Other names 1
- Mrs. Pretrescia Marie Walker
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO1609 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1720230675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SAINT VINCENT CIR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055423",
"telephone_number": "501-552-3368",
"fax_number": "501-552-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHI-ST. VINCENT INFIRMARY-HOSPITALIST GROUP",
"address_2": "2 SAINT VINCENT CIRCLE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72205",
"telephone_number": "501-552-3368",
"fax_number": "501-552-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBBS",
"first_name": "PRETRESCIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DNP, ACNP, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "AO1609",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AR",
"license": "A01609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRETRESCIA",
"last_name": "WALKER",
"middle_name": "MARIE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.