Active NPI
Ilyssia Greer, FNP-BC
- Family Nurse Practitioner
- Springfield, TN
National Provider Identifier
1285882738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0000017899
- Practice address
- 300 Northcrest Dr Ste 308
Springfield, TN 37172-3963 - Phone
- (615) 380-8484
- Fax
- (615) 380-8238
- NPI assigned
- Sep 8, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0000017899 | TN | Primary |
Addresses
Primary practice location
300 Northcrest Dr Ste 308
Springfield, TN 37172-3963
Mailing address
300 Northcrest Dr Ste 308
Springfield, TN 37172-3963
Phone (615) 380-8484
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000017899 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1285882738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 NORTHCREST DR STE 308",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371723963",
"telephone_number": "615-380-8484",
"fax_number": "615-380-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NORTHCREST DR STE 308",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371723963",
"telephone_number": "615-380-8484",
"fax_number": "615-380-8238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "ILYSSIA",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "0000017899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.