Active NPI
Carol S Greenlee, CNM
- Midwife
- Lincoln, NE
National Provider Identifier
1033294681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 9565380-4402
- Practice address
- 301 S 70TH St Ste 200
Lincoln, NE 68510-2452 - Phone
- (402) 483-7641
- Fax
- (402) 483-0527
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 9565380-4402 | UT | Primary |
Addresses
Primary practice location
301 S 70TH St Ste 200
Lincoln, NE 68510-2452
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (402) 499-6641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-0546525-12 | Medicaid | NE |
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 Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9565380-4402 | UT | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1033294681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "402-499-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S 70TH ST STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102452",
"telephone_number": "402-483-7641",
"fax_number": "402-483-0527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLEE",
"first_name": "CAROL",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "UT",
"license": "9565380-4402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-0546525-12",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.