Mary Evans Greene

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP013002 Issued in PA

Practice address

685 Kromer Ave
Berwyn, PA 19312-1392

Phone

(109) 950-1006

Fax

(109) 950-4006

NPI assigned

Jul 31, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Holisticare Hospice Limited

  • Community Based Hospice Care Agency
  • Wayne, PA
  • NPI 1932473857
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1104258276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 KROMER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121392",
            "telephone_number": "109-950-1006",
            "fax_number": "109-950-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 KROMER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121392",
            "telephone_number": "109-950-1006",
            "fax_number": "109-950-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MARY EVANS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Gillin
• Marina Giolas, PH.D.
• Tessa Glennon, OT
• Rhonda Baldwin Goodchild
• Barrie M. Greenberg, PT, DPT
• Antje L Greenfield, MD
• Richard John Gregory, D.D.S.
• Groovy Pediatric Dentistry
• Jennifer Grubb, CRNP, PMHNP-BC
• Hailey Guarracino, DPT

• Nurse Practitioner in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.