Individual provider Active NPI

Linda Williams Greninger, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1154488203
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
600084 Issued in NC
Practice address
301 N Elm St
Greensboro, NC 27401-2083
Phone
(336) 274-1237
Fax
(336) 335-5710
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 070921 NC
Adult Health Nurse Practitioner 363LA2200X 600084 NC
Gerontology Nurse Practitioner 363LG0600X 600084 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 600084 NC Primary

Addresses

Primary practice location

301 N Elm St
Greensboro, NC 27401-2083

Mailing address

301 N Elm St
Greensboro, NC 27401-2083
Phone (336) 274-1237

Other identifiers 1

IdentifierTypeStateIssuer
6005042MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000654 NC Practitioner - Nurse Practitioner 2062473820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Psychiatric and Counseling Center PAGroup PAC ID 3173590882, 23 clinicians

Practice addresses (Care Compare)

603 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
070921NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of the Piedmont, Inc. Psychiatric/Mental Health CurrentSince Jul 1, 2016 Accepting new patients
Family Service of the Piedmont, Inc CurrentSince Jul 1, 2016 Accepting new patients
Triad Psychiatric and Counseling Center PA CurrentSince Nov 16, 2021 Accepting new patients

Locations

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

315 E Washington St
Greensboro, NC 27401
Phone (336) 387-6161

902 Bonner Dr
Jamestown, NC 27282
Phone (336) 387-6161

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1154488203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012083",
            "telephone_number": "336-274-1237",
            "fax_number": "336-335-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012083",
            "telephone_number": "336-274-1237",
            "fax_number": "336-335-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENINGER",
        "first_name": "LINDA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "070921",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "600084",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "600084",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "600084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005042",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.