Carol Grettum, CP, CPED

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

Fargo VA Healthcare System
2101 Elm Street N
Fargo, ND 58102

Phone

(701) 239-3700

Fax

(701) 239-3721

NPI assigned

Jun 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1730863937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 32ND AVE W APT 602",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782947",
            "telephone_number": "701-261-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FARGO VA HEALTHCARE SYSTEM",
            "address_2": "2101 ELM STREET N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-239-3700",
            "fax_number": "701-239-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETTUM",
        "first_name": "CAROL",
        "credential": "CP, CPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Grenz
• Sheila Renee Greseth, DNP, NP-C
• Kristina Jean Gresh, FNP-C
• Jenny Gress, REGISTERED NURSE
• Macy Ann Gress, LRD, RDN
• Kailey Lynn Grey, PA-C
• Michael Griess, MD
• David M Griffin, MD
• Douglas M Griffin, MD
• Annika Griffith

• Prosthetist in Fargo, ND
• Providers in Fargo, ND by specialty
• Prosthetist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.