Grenetta L Ritenour, CNP
Individual provider Active NPI Family Nurse Practitioner · Jamestown, OH
NPI 1891781696 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1891781696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.07618 (OH)
- Practice address
- 4940 Cottonville Rd
Jamestown, OH 45335-1522 - Phone
- (937) 675-2870
- Fax
- (937) 675-2873
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040507000039 | OH | Practitioner - Nurse Practitioner | 6406845346 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP07618 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current |
Accepting new patients | |
| Alliance Physicians, Inc. | Current |
Accepting new patients | |
| Fayette County Memorial Hospital | Past | Accepting new patients | |
| Greene Memorial Hospital Inc | Past | Accepting new patients |
Locations
29 Kyle Dr
Cedarville, OH 45314
Phone (937) 766-2611
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
4790 Cottonville Rd
Jamestown, OH 45335
Phone (937) 675-2870
4940 Cottonville Rd
Ste 100
Jamestown, OH 45335
Phone (937) 675-6830
4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
1157 N Monroe Dr
Ste 220
Xenia, OH 45385
Phone (937) 374-3484
888 Dayton St
Unit 200
Yellow Springs, OH 45387
Phone (937) 767-7291
888 Dayton St
Yellow Springs, OH 45387
Phone (937) 660-8138
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP07618 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.07618 | OH | Yes |
Addresses
Primary practice location
4940 Cottonville Rd
Jamestown, OH 45335-1522
Mailing address
4940 Cottonville Rd
Jamestown, OH 45335-1522
Phone (937) 675-2870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2477556 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gritenour474863@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Other providers in Jamestown, OH
- Angela Renee' Paugh
- Pristine Senior Living of Jamestown LLC
- Purple Cabs of Xenia
- Megan Rees
- Karen Reichley
- Dana N Scott
- Silver Creek Township Trustees
- Aleena Nicole Slone
- Richard K Smith
- Spirithorse of Ohio, LLC.
All providers in Jamestown, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.