Individual provider Active NPI

Amy E. Rettig, RN, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Dublin, OH
National Provider Identifier
1881906170
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
RN227838-COA1 Issued in OH
Practice address
4019 W Dublin Granville Rd
Jamescare in Dulbin
Dublin, OH 43017-1436
Phone
(614) 366-8512
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X RN227838-COA1 OH Primary

Addresses

Primary practice location

4019 W Dublin Granville Rd
Jamescare in Dulbin
Dublin, OH 43017-1436

Mailing address

58 Olentangy St
Columbus, OH 43202-2339
Phone (614) 261-0796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN227838-COA1OHMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1881906170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OLENTANGY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432022339",
            "telephone_number": "614-261-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 W DUBLIN GRANVILLE RD",
            "address_2": "JAMESCARE IN DULBIN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171436",
            "telephone_number": "614-366-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTIG",
        "first_name": "AMY",
        "middle_name": "E.",
        "credential": "RN, ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "RN227838-COA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.