Active NPI
Kathrine Greenburg, LMT
- Specialist
- Lindon, UT
National Provider Identifier
1104157221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3646644701
- Practice address
- 643 W 700 N Ste C
Lindon, UT 84042-1366 - Phone
- (801) 796-0322
- Fax
- (801) 796-1038
- NPI assigned
- Jan 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 3646644701 | UT | Primary |
Addresses
Primary practice location
643 W 700 N Ste C
Lindon, UT 84042-1366
Mailing address
643 W 700 N Ste C
Lindon, UT 84042-1366
Phone (801) 796-0322
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3646644701 | UT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1104157221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 W 700 N STE C",
"city": "LINDON",
"state": "UT",
"postal_code": "840421366",
"telephone_number": "801-796-0322",
"fax_number": "801-796-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 W 700 N STE C",
"city": "LINDON",
"state": "UT",
"postal_code": "840421366",
"telephone_number": "801-796-0322",
"fax_number": "801-796-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBURG",
"first_name": "KATHRINE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "3646644701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindon, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.