Brenda L Greene, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.01624 Issued in OH

Practice address

4090 E Galbraith Rd
Cincinnati, OH 45236-2324

Phone

(513) 891-0175

Fax

(513) 891-0129

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Phoenix Group Home LLCGroup PAC ID 7911407903, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Group Home, LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1083146013
  Medicare reassignment Care Compare group NPD
• Trihealth G LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1295862944

  Nurse Practitioner

  Medicare reassignment NPD
• Trihealth U LLC

  • Community Health Clinic/Center
  • Cincinnati, OH
  • NPI 1528605177
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner, OH

  Medicare reassignment NPD
• Phoenix Group Home, LLC

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1336654854
  NPD
• Trihealth G, LLC

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1184023640
  NPD
• City of Cincinnati

  • Clinic Pharmacy
  • Cincinnati, OH
  • NPI 1477112308
  NPD (past)
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1811900061
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1295823482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON ST., EIGHT TOWER BRIDGE",
            "address_2": "STE 1400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "484-351-3043",
            "fax_number": "484-450-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362324",
            "telephone_number": "513-891-0175",
            "fax_number": "513-891-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP1624",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.01624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2346652",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Greene
• Angelique Greene
• Ashley Cheyanne Greene
• Audrey Rae Greene, PSY.D.
• Billie L Greene
• Candace Greene, CDCA
• Christopher N Greene, CNP
• Daniel Joseph Greene, RN
• Daniel W Greene, PA
• Elizabeth Greene, LSW

• Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.