MRS. STACEY L GRETKA BSHN
NPI 1396090155
Nutritionist - Nutrition, Education in Charlotte, NC

Active since July 18, 2012
10130 MALLARD CREEK RD, STE 300, CHARLOTTE, NC 28262(704) 549-9550(704) 549-9570 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Stacey L Gretka Bshn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACEY L GRETKA BSHN (NPI 1396090155) is an individual nutrition, education provider in Charlotte, North Carolina and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1396090155
Entity TypeIndividualFemale
Primary Taxonomy133NN1002X
Provider Legal NameMRS. STACEY L GRETKACredential: BSHN
Location Address10130 MALLARD CREEK RD, STE 300Charlotte, NC 28262-6000
Mailing Address101 S Tryon St, Ste 200Charlotte, NC 28280-0002 · (980) 254-8433 · Fax (704) 943-0720
Fax(704) 549-9570
Sole ProprietorNo
Enumeration DateJuly 18, 2012
NPI 1396090155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
10130 MALLARD CREEK RD, Charlotte, NC 28262

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Counselor (Mental Health)
10130 MALLARD CREEK RD, SUITE 300
CHARLOTTE, NC 28262
Counselor
10130 MALLARD CREEK RD, SUITE 300
CHARLOTTE, NC 28262
Community/Behavioral Health
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Community/Behavioral Health
10130 MALLARD CREEK RD, SUITE 200
CHARLOTTE, NC 28262
Counselor (Mental Health)
10130 MALLARD CREEK RD, STE 300
CHARLOTTE, NC 28262
Nutritionist (Nutrition, Education)
10130 MALLARD CREEK RD
CHARLOTTE, NC 28262
Counselor
10130 MALLARD CREEK RD, STE 300
CHARLOTTE, NC 28262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Gretka's NPI number?

The NPI number for Stacey Gretka is 1396090155. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Stacey Gretka located?

Stacey Gretka practices at 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262. The listed phone number is (704) 549-9550.

What is Stacey Gretka's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Stacey Gretka was last updated on July 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.