Individual provider Active NPI

Amber Mae Griep, BSN

  • Registered Nurse
  • Green Bay, WI
National Provider Identifier
1972739027
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
161913-30 Issued in WI
Practice address
2561 Ontario Rd
Green Bay, WI 54311-4977
Phone
(920) 412-3515
NPI assigned
Jun 3, 2009
Last updated
Jun 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 161913-30 WI Primary

Addresses

Primary practice location

2561 Ontario Rd
Green Bay, WI 54311-4977

Mailing address

2561 Ontario Rd
Green Bay, WI 54311-4977
Phone (920) 412-3515

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)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
161913-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1972739027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 ONTARIO RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114977",
            "telephone_number": "920-412-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 ONTARIO RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114977",
            "telephone_number": "920-412-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEP",
        "first_name": "AMBER",
        "middle_name": "MAE",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "161913-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.