Organization Active NPI

Greentree Health Diagnostics

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1144650748
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GREENTREE HEALTH DIAGNOSTICS
Practice address
8900 Shoal Creek Blvd Ste 300B
Austin, TX 78757-6857
Phone
(512) 431-4126
Fax
(512) 375-3865
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Nathalie Blackstock
Title
Director, RCM Division
Phone
(512) 323-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X F8173 TX

Addresses

Primary practice location

8900 Shoal Creek Blvd Ste 300B
Austin, TX 78757-6857

Mailing address

8900 Shoal Creek Blvd Ste 300B
Austin, TX 78757-6857
Phone (512) 431-4126

National Provider Directory

National Provider Directory
Tax ID family
Greentree Health11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1144650748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SHOAL CREEK BLVD STE 300B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576857",
            "telephone_number": "512-431-4126",
            "fax_number": "512-375-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SHOAL CREEK BLVD STE 300B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576857",
            "telephone_number": "512-431-4126",
            "fax_number": "512-375-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE HEALTH DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BLACKSTOCK",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "DIRECTOR, RCM DIVISION",
        "authorized_official_telephone_number": "512-323-6900"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "F8173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.