Active NPI
Jennifer Greene Childress, RN
- Registered Nurse
- Lenoir, NC
National Provider Identifier
1205085198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 136175
- Practice address
- 1966 Morganton Blvd SW Ste B
Lenoir, NC 28645-5311 - Phone
- (828) 426-8448
- Fax
- (828) 426-8527
- NPI assigned
- Sep 16, 2008
- Last updated
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 136175 | NC | Primary |
Addresses
Primary practice location
1966 Morganton Blvd SW Ste B
Lenoir, NC 28645-5311
Mailing address
1966 Morganton Blvd SW Ste B
Lenoir, NC 28645-5311
Phone (828) 426-8448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300175K | Medicaid | NC | |
| 136175 | Other | NC | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136175 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1205085198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1966 MORGANTON BLVD SW STE B",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455311",
"telephone_number": "828-426-8448",
"fax_number": "828-426-8527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1966 MORGANTON BLVD SW STE B",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455311",
"telephone_number": "828-426-8448",
"fax_number": "828-426-8527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDRESS",
"first_name": "JENNIFER",
"middle_name": "GREENE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "136175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300175K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "136175",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
- Stephanie M. Chambers, PA
- Change Home Care, LLC
- Allison Lee Charles, PT
- Chloe Childers, LCSW-A, LCAS-A
- Children's Advocacy Center of Caldwell County, Inc. (Robin's Nest)
- Chiropractic Rehabilitation Accident and Injury Center, PLLC
- Jenyung Andy Chiu, MD
- Bradley T Christoph, DO
- Church Street Medical Center and Aesthetics
- Casey Jo Cirino, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.