Individual provider Active NPI

Selinda Sue Gretz, RN-CFNP

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1780770495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R552828 Issued in MS
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R552828MSMDFamily 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.

Verify at the official NPI Registry.