Active NPI
Gretchen Woods, CNS
- Psychiatric/Mental Health Clinical Nurse Specialist
- Gallup, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R42284
- Practice address
- 650 Vanden Bosch Pkwy
Suite B
Gallup, NM 87301-5508 - Phone
- (505) 726-6900
- NPI assigned
- Feb 6, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | R42284 | NM | Primary |
Addresses
Primary practice location
650 Vanden Bosch Pkwy
Suite B
Gallup, NM 87301-5508
Mailing address
1901 Redrock Dr
PFS Dept
Gallup, NM 87301-5683
Phone (505) 863-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A6926 | Medicaid | NM | |
| 10010252 | Other | NM | LOVELACE HEALTH/SALUD |
| NM01R98T | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R42284 | NM | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| Cibola General Hospital Corporation | Current | Accepting new patients |
Locations
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
650 Vandenbosch Pkwy
Gallup, NM 87301
Phone (505) 726-6900
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172
1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
-
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811969637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 REDROCK DR",
"address_2": "PFS DEPT",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015683",
"telephone_number": "505-863-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 VANDEN BOSCH PKWY",
"address_2": "SUITE B",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015508",
"telephone_number": "505-726-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "GRETCHEN",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "NM",
"license": "R42284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A6926",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH/SALUD",
"identifier": "10010252",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM01R98T",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallup, NM
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.