Individual provider Active NPI

Greta R Abruzzese, RN, CNP

  • Family Nurse Practitioner
  • Edina, MN
National Provider Identifier
1972693794
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP3397 Issued in MN
Practice address
7400 Metro Blvd Ste 255
Edina, MN 55439-2355
Phone
(952) 224-4413
Fax
(952) 224-4415
NPI assigned
Oct 13, 2006
Last updated
Jan 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP3397 MN Primary
General Practice Registered Nurse 163WG0000X R080266-4 MN

Addresses

Primary practice location

7400 Metro Blvd Ste 255
Edina, MN 55439-2355

Mailing address

7400 Metro Blvd Ste 255
Edina, MN 55439-2355
Phone (952) 224-4413

Other identifiers 1

IdentifierTypeStateIssuer
385380200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R080266-4MNMDGeneral Practice Registered Nurse
CNP3397MNMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1972693794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 255",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392355",
            "telephone_number": "952-224-4413",
            "fax_number": "952-224-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 255",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392355",
            "telephone_number": "952-224-4413",
            "fax_number": "952-224-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRUZZESE",
        "first_name": "GRETA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP3397",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "R080266-4",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385380200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.