Yolanda Renee Greene, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R174265 Issued in MD

Practice address

11311 McCormick Rd Ste 350
Hunt Valley, MD 21031-8618

Phone

(443) 849-3184

Fax

(443) 849-3182

NPI assigned

Sep 18, 2009

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Graceway Health Care LLCGroup PAC ID 9537544648, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Graceway Health Care LLC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1417779083

  DC

  Medicare reassignment Care Compare group NPD
• Graceway Health Care LLC

  • Internal Medicine Physician
  • Catonsville, MD
  • NPI 1013669084
  Medicare reassignment NPD (past)
• Graceway Health Care LLC

  • Internal Medicine Physician
  • Towson, MD
  • NPI 1114749181
  NPD
• Graceway Health Care LLC

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1356203020
  NPD
• Graceway Health Care LLC

  • Internal Medicine Physician
  • Rosedale, MD
  • NPI 1487476453
  NPD

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1073846382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7957 VERNON AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363645",
            "telephone_number": "443-325-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 MCCORMICK RD STE 350",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318618",
            "telephone_number": "443-849-3184",
            "fax_number": "443-849-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Resource Dr",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211334733",
            "country_code": "US",
            "telephone_number": "410-887-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "YOLANDA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R174265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Baltimore Medical Center, Inc. (GBMC at Hunt Valley)
• Dwayne T Green, LCPC
• Shaw-Aiza Green
• Greenbrook TMS Hunt Valley LLC
• Adrienne Greene
• Cydny Grey
• Noah Grill
• Kaila Alissa Griswold
• Jeanne Groen
• Dawn West Grow, LCPC

• Family Nurse Practitioner in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.