Active NPI
Shelia Marquietta Greenwood, CADC
- Addiction (Substance Use Disorder) Counselor
- Marietta, OK
National Provider Identifier
1295039154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 84
- Practice address
- RR 3 Box 227
Marietta, OK 73448-9657 - Phone
- (580) 812-1395
- Fax
- (580) 931-2239
- NPI assigned
- Jan 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 84 | OK | Primary |
Addresses
Primary practice location
RR 3 Box 227
Marietta, OK 73448-9657
Mailing address
RR 3 Box 227
Marietta, OK 73448-9657
Phone (580) 812-1395
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84 | OK | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1295039154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 3 BOX 227",
"city": "MARIETTA",
"state": "OK",
"postal_code": "734489657",
"telephone_number": "580-812-1395",
"fax_number": "580-931-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 3 BOX 227",
"city": "MARIETTA",
"state": "OK",
"postal_code": "734489657",
"telephone_number": "580-812-1395",
"fax_number": "580-931-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "SHELIA",
"middle_name": "MARQUIETTA",
"name_prefix": "Mrs.",
"credential": "CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "84",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.