Greenfield Assisted Living of Spotsylvania

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREENFIELD ASSISTED LIVING OF SPOTSYLVANIA

Practice address

9300 Onyx CT
Fredericksburg, VA 22407-9329

Phone

(540) 891-5540

NPI assigned

Mar 5, 2018

Organization subpart

No

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

Authorized official

Name

Mathew Peponis

Title

Ceo

Phone

(703) 962-9125

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1154823276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N WASHINGTON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464515",
            "telephone_number": "703-962-9125",
            "fax_number": "703-237-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 ONYX CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079329",
            "telephone_number": "540-891-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD ASSISTED LIVING OF SPOTSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "PEPONIS",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-962-9125"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa J Green, WHCNP
• Greenbrook TMS Fredericksburg, LLC
• Diane Carolyn Greene Fabre, CRNA
• Elizabeth Marie Greene, PA-C
• Sherice Greene, LPC
• Cindy Marie Greenwood, NP-C
• Brenda Sue Greer, RPH
• Margaret Greer, MD
• Mahasha Greffin
• Jillian Rose Gregson

• Assisted Living Facility in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.