Active NPI
Michelle Larue Greathree
- Social Worker
- Los Angeles, CA
National Provider Identifier
1063009009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 11301 Wilshire Blvd BLDG 257
Los Angeles, CA 90073-1003 - Phone
- (626) 877-6181
- NPI assigned
- Dec 23, 2020
- Last updated
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd BLDG 257
Los Angeles, CA 90073-1003
Mailing address
11301 Wilshire Blvd BLDG 257
Los Angeles, CA 90073-1003
Phone (626) 877-6181
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.greathree2@va.gov | Health Information Exchange (HIE) |
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
Interoperability endpoints
- michelle.greathree2@va.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1063009009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD BLDG 257",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "626-877-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD BLDG 257",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "626-877-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREATHREE",
"first_name": "MICHELLE",
"middle_name": "LARUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-23",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.greathree2@va.gov",
"affiliation": "N",
"endpointDescription": "Organization Email Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11301 Wilshire Blvd Bldg 257",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900731003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
- Greater Los Angeles Dialysis Centers LLC (University Park Dialysis Center)
- Greater Los Angeles Dialysis Centers LLC (Wilshire Dialysis Center)
- Greater Los Angeles Dialysis Centers LLC (Hollywood Dialysis Center)
- Greater Los Angeles Health Care System
- Greater Los Angeles Oncology Medical Corporation
- Giovanni Henry St. Orville Greaves, M.D.
- Karen Grecea, MS, RD, CDN
- Joseph Anthony Grech, MD
- Carly Greco, PT, DPT
- Valerie Allen Greco, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.