Individual provider Active NPI

Nora Jo M Greenia, ARNP

  • Adult Health Nurse Practitioner
  • Tavares, FL
National Provider Identifier
1326288366
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1594712 Issued in FL
Practice address
1751 David Walker Dr
Tavares, FL 32778-5745
Phone
(352) 508-4455
Fax
(844) 388-6186
NPI assigned
Mar 4, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1594712 FL Primary

Addresses

Primary practice location

1751 David Walker Dr
Tavares, FL 32778-5745

Mailing address

PO Box 4590
Ocala, FL 34478-4590
Phone (352) 508-4455

Other practice location 1

7860 SW 103rd Street Rd
Building 100 Suite 101
Ocala, FL 34476-8623
Phone (352) 873-4458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120124000867 FL Practitioner - Nurse Practitioner 4789851270 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1594712FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Internal Medicine of Ocala CurrentSince Mar 1, 2014 Accepting new patients
Countryside Medical PA PastSince Aug 1, 2016 Accepting new patients
Metcare of Florida, Inc Past Accepting new patients
Metcare of Florida, Inc Past Accepting new patients

Locations

11740 SW 97th Ter
Ocala, FL 34481
Phone (352) 732-9844

1627 SW 1st Ave
Ste 200
Ocala, FL 34471
Phone (352) 598-9330

Organizations & group practices 5

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": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326288366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4590",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344784590",
            "telephone_number": "352-508-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 DAVID WALKER DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785745",
            "telephone_number": "352-508-4455",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7860 SW 103rd Street Rd",
            "address_2": "BUILDING 100 SUITE 101",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344768623",
            "country_code": "US",
            "telephone_number": "352-873-4458",
            "fax_number": "352-873-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENIA",
        "first_name": "NORA JO",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "1594712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.