Greenspark Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENSPARK HEALTH

Practice address

11 W Prospect Ave # 35
Mount Vernon, NY 10550-2017

Phone

(914) 269-3688

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Jeannelle Ernest-Hill, RNNPI 1497965891

Title

Ceo

Phone

(914) 269-3688

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannelle A Ernest-Hill, RN

  • Registered Nurse
  • Mount Vernon, NY
  • NPI 1497965891
  NPD Authorized official

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1326800343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 NORTH RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W PROSPECT AVE # 35",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502017",
            "telephone_number": "914-269-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSPARK HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "ERNEST-HILL",
        "authorized_official_first_name": "JEANNELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-269-3688",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Green-Watson
• Douglas Andrew Green
• Sophia Edukere Green
• Wallycinth Green
• Greenlight Health
• Paola Greiger-Zanlungo, M.D.
• Michelle Grennan, PH.D.
• Paul Grennan
• Christene Marie Grey, LMT
• Charlene M Grinion, FNP

• Clinic/Center in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.