Individual provider Active NPI

Carla Grzely, R.N.

  • Registered Nurse
  • Painesville, OH
National Provider Identifier
1972943710
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
367958 Issued in OH
Practice address
6980 Mildon Dr
Painesville, OH 44077-9368
Phone
(440) 223-0304
Fax
(440) 210-7910
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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 367958 OH Primary

Addresses

Primary practice location

6980 Mildon Dr
Painesville, OH 44077-9368

Mailing address

6980 Mildon Dr
Painesville, OH 44077-9368
Phone (440) 223-0304

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
367958OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1972943710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 MILDON DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440779368",
            "telephone_number": "440-223-0304",
            "fax_number": "440-210-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6980 MILDON DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440779368",
            "telephone_number": "440-223-0304",
            "fax_number": "440-210-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZELY",
        "first_name": "CARLA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "367958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.