Sharon Hope Greacen, MT(ASCP)

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

Practice address

12000 Stone Lake Drive
Laboratory
Dulce, NM 87528-0187

Phone

(505) 759-7218

NPI assigned

Jul 24, 2006

Last updated

Apr 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1194747279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "875280997",
            "telephone_number": "970-749-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 STONE LAKE DRIVE",
            "address_2": "LABORATORY",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "875280187",
            "telephone_number": "505-759-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREACEN",
        "first_name": "SHARON",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "MT(ASCP)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "HSZ196",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000K3526",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ursula Michael Gabriel
• Reyna R Garcia, RN
• Margaret Jean Gillean, RN
• Michael W Goldberg, M.A.
• Yolandra Gomez, MD
• Steven Paul Gross, M.D.
• Daniel Xethan Haire, DO
• Patrick S Hogan, RPH
• Diane P Holzem, RN,C
• Indian Health Service- Jicarilla Service Unit

• Pathology Specialist/Technologist in Dulce, NM
• Providers in Dulce, NM by specialty
• Pathology Specialist/Technologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.