Gretchen Nicole Wiese, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86080414 Issued in IN

Practice address

12100 E Iliff Ave Ste 102
Aurora, CO 80014-1277

Phone

(720) 262-7281

Fax

(720) 372-4504

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1790449569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 E MISSISSIPPI AVE APT 27-203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 E ILIFF AVE STE 102",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141277",
            "telephone_number": "720-262-7281",
            "fax_number": "720-372-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "GRETCHEN",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "86080414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12100 E Iliff Ave Ste 102",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800141277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanne Elizabeth Wienert, MSW
• Margaret Wierman, MD
• John C Wiersch, M.D.
• Alexandria Wiersma, MD
• Claudia Wies, NP
• Jordan Nicole Wiesler, MD
• Amanda M Wigfield, MA
• Travis Wigstrom
• Wikare Home Health LLC
• Paige Wikman, M.S., SLP-CF

• Registered Dietitian in Aurora, CO
• Providers in Aurora, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.