Adrienne R Greer, CLASS A BARBER

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

219320 Issued in TX

Practice address

1340 N Town East Blvd Ste C
Mesquite, TX 75150-4148

Phone

(469) 596-8454

NPI assigned

May 19, 2022

Sex

Female

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1093452088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 FAIR CREST TRL",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266300",
            "telephone_number": "214-707-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N TOWN EAST BLVD STE C",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504148",
            "telephone_number": "469-596-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "ADRIENNE",
        "middle_name": "R",
        "credential": "CLASS A BARBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "219320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Lewisville Therapy Center Inc (Greater Therapy Centers)
• Green Oaks Physical Therapy Limited Partnership
• Brionna Green
• Gloria J Green, LCSW
• Tesla Green
• Gregg T. Podleski D.O.
• Gregg T. Podleski, D.O. P.a.
• Mark Gregory, M.D., D.D.S
• Ellie Grace Gribble
• Amy Elizabeth Griffin, MS, CCC-SLP

• Prosthetic/Orthotic Supplier in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.