Organization Active NPI

Greene Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Vienna, VA
National Provider Identifier
1043636517
Registry record updated Mar 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024165063 Issued in VA
Legal business name
GREENE ANESTHESIA SERVICES
Practice address
505 Wolftrap Rd SE
Vienna, VA 22180-4942
Phone
(703) 869-3026
NPI assigned
Mar 8, 2014
Last updated
Mar 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2014

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

Authorized official

Name
Diane Greene
Title
President
Phone
(703) 869-3026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024165063 VA Primary

Addresses

Primary practice location

505 Wolftrap Rd SE
Vienna, VA 22180-4942

Mailing address

505 Wolftrap Rd SE
Vienna, VA 22180-4942
Phone (703) 869-3026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394236800000",
    "number": "1043636517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WOLFTRAP RD SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804942",
            "telephone_number": "703-869-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WOLFTRAP RD SE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804942",
            "telephone_number": "703-869-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-03-08",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-869-3026"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024165063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; 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.