Individual provider Active NPI

Christy Greenly, APRN, CNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1316369002
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201907439NP-PP Issued in OR
Practice address
1111 N Lee Ave Ste 310
Oklahoma City, OK 73103-2620
Phone
(405) 272-4978
NPI assigned
Jan 14, 2014
Last updated
Dec 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NR20882900 NJ
Nurse Practitioner 363L00000X 201907439NP-PP OR Primary
Family Nurse Practitioner 363LF0000X C-APN.0001242-C-NP CO
Family Nurse Practitioner 363LF0000X AP60909274 WA
Family Nurse Practitioner 363LF0000X 95862 OK

Addresses

Primary practice location

1111 N Lee Ave Ste 310
Oklahoma City, OK 73103-2620

Mailing address

1111 N Lee Ave Ste 310
Oklahoma City, OK 73103-2620

Other practice location 1

50 Tice Blvd Ste A35
Woodcliff Lake, NJ 07677-7681
Phone (300) 500-1518

Other practice location 2

3455 Ringsby Ct Ste 102
Denver, CO 80216-4923
Phone (303) 500-1518

Other identifiers 3

IdentifierTypeStateIssuer
9000167356MedicaidCO
200532560AMedicaidOK
393455601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140617001156 OK Practitioner - Nurse Practitioner 9335363175 Reassigns benefits to 3 organizations
I20181106001490 CO Practitioner - Nurse Practitioner 9335363175 Reassigns benefits to 1 organization
I20200224000564 GA Practitioner - Nurse Practitioner 9335363175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Healthy Heartbeat, P.C. Single Specialty CurrentSince Jan 4, 2016 Accepting new patients
Healthy Heartbeat, PC Single Specialty CurrentSince Jan 4, 2016 Accepting new patients
Saints Medical Group, LLC Single Specialty CurrentSince Sep 2, 2015 Accepting new patients
True North Health Navigation LLC Single Specialty CurrentSince Dec 15, 2019 Accepting new patients
Saints Medical Group, LLC CurrentSince Sep 2, 2015 Accepting new patients
True North Health Navigation LLC Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Baha Al Deen Abuesheh MD PC Single Specialty Past Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients

Locations

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350

1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888

1226 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 232-8003

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

3400 S Douglas Blvd
Ste 302
Oklahoma City, OK 73150
Phone (405) 272-2850

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

609 W Memorial Rd
Oklahoma City, OK 73114
Phone (405) 418-2676

6500 Broadway Ext
#100
Oklahoma City, OK 73116
Phone (405) 231-8882

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1316369002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 310",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 310",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620",
            "telephone_number": "405-272-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Tice Blvd Ste A35",
            "address_purpose": "LOCATION",
            "city": "Woodcliff Lake",
            "state": "NJ",
            "postal_code": "076777681",
            "country_code": "US",
            "telephone_number": "300-500-1518",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Ringsby Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802164923",
            "country_code": "US",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENLY",
        "first_name": "CHRISTY",
        "name_prefix": "Miss",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR20882900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201907439NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001242-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60909274",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "95862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000167356",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200532560A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393455601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.