Active NPI
Selinda Sue Gretz, RN-CFNP
- Family Nurse Practitioner
- Biloxi, MS
National Provider Identifier
1780770495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R552828
- Practice address
- VA Gulf Coast Veterans Health Care System
400 Veterans Boulevard
Biloxi, MS 39531 - Phone
- (228) 523-5727
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R552828 | MS | Primary |
Addresses
Primary practice location
VA Gulf Coast Veterans Health Care System
400 Veterans Boulevard
Biloxi, MS 39531
Mailing address
16455 Herbage Drive
Gulfport, MS 39503
Phone (228) 832-2251
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R552828 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780770495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16455 HERBAGE DRIVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39503",
"telephone_number": "228-832-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA GULF COAST VETERANS HEALTH CARE SYSTEM",
"address_2": "400 VETERANS BOULEVARD",
"city": "BILOXI",
"state": "MS",
"postal_code": "39531",
"telephone_number": "228-523-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRETZ",
"first_name": "SELINDA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "RN-CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R552828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.