Private Network Consulting

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PRIVATE NETWORK CONSULTING

Practice address

409 S Market Blvd
Chehalis, WA 98532-3043

Phone

(360) 506-9212

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Luke Greene, APRNNPI 1134423056

Title

Ceo

Phone

(360) 506-9212

Specialties & licenses 1

Addresses

Other names 1

• Greene Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luke Greene, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Centralia, WA
  • NPI 1134423056
  Medicare reassignment NPD Authorized official
• Kay Frallic, MA, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Tacoma, WA
  • NPI 1205004322
  NPD (past)
• Tom A Putaansuu, M.ED.

  • Audiologist
  • Olympia, WA
  • NPI 1083711063
  NPD (past)
• Seth Lewis Garcia, AU.D, PH.D

  • Audiologist
  • NPI 1801049309
  NPD (past)
• Sierra B Macdonald, AUD

  • Audiologist
  • Wesley Chapel, FL
  • NPI 1083805659
  NPD (past)
• Cynthia T Merritt, CCC-A

  • Audiologist
  • Springfield, IL
  • NPI 1992988331
  NPD (past)

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1205527124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323043",
            "telephone_number": "360-506-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE NETWORK CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-506-9212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coreenia Lee Preston, CNA
• Veronica I Preston, RN
• Avionne Makayla Pridgen, CPHT
• Krystal Rene Priest
• Hailey Prince
• Hope Ann Proctor, LICSW-A
• Surya Punjabi, DMD
• Brittany Rae Quam
• R.C. Downing DDS PS
• Radiology Associates of Lewis County Inc PC

• Psychiatric/Mental Health Nurse Practitioner in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.