Ryan Greco

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

141590-30 Issued in WI

Practice address

1643 Mackinac Ave
South Milwaukee, WI 53172-2905

Phone

(414) 745-8170

NPI assigned

Oct 9, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1063387967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 MACKINAC AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 MACKINAC AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722905",
            "telephone_number": "414-745-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-09",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "141590-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Gonzalez-Randolph, LP
• Catherine Goodson, DPT
• James Ryan Gorman, SAC
• Grant Park Dental, S.C.
• Jimmie C Grays
• Tammy Lee Greig, LPTA
• Drew Gunderson, MD
• Giovanni Guzman, PTA
• Nadine Haddad, M.D.
• Erika Mildred Hafemann, LPN

• General Practice Registered Nurse in South Milwaukee, WI
• Providers in South Milwaukee, WI by specialty
• General Practice Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; 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.