Grettle Agnes Evelyn, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F302171 Issued in NY

Practice address

1 Gustave L Levy PL
New York, NY 10029-6500

Phone

(212) 241-6400

Fax

(212) 876-4671

NPI assigned

Aug 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1952567554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 EDGEMERE AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912716",
            "telephone_number": "718-327-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-6400",
            "fax_number": "212-876-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELYN",
        "first_name": "GRETTLE",
        "middle_name": "AGNES",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Eve, DMD, MS
• Matthew Christian Eveleth, MD
• Eveline Erni, Physical Therapy
• Michaela Evelkin, OTR/L
• Evelyn R. Tejeda, D.M.D P.C
• Neer Even-Hen, D.M.D.
• Jeanne Even
• Aidan Bryce Evens, LMSW
• Eventide Logos LLC
• Ever Care Dental, PC

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; 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.