Laura Kristin Greene, CNP
Individual provider Active NPI Family Nurse Practitioner · Eugene, OR
NPI 1336337245 · NPPES record last updated Jan 8, 2016
Key facts
- NPI
- 1336337245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 201394043NP-PP (OR)
- Practice address
- 4000 E 30TH Ave
Eugene, OR 97405-0640 - Phone
- (541) 463-5665
- Fax
- (541) 463-4164
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201394043NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nordonia Hills Clinic Inc | Past | Accepting new patients | |
| Lane Community College Health Clinic | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201394043NP-PP | OR | Yes |
Addresses
Primary practice location
4000 E 30TH Ave
Eugene, OR 97405-0640
Mailing address
4000 E 30TH Ave
Eugene, OR 97405-0640
Phone (541) 463-5665
Other providers in Eugene, OR
- Sara Elizabeth Green
- Erin Kathleen Greenberg
- McKenzie Greenblatt
- Anika Greene
- Kay Greene
- Mike A Greene II
- Jennifer Greenlaw
- Stuart Clark Greenleaf
- Diane A Gregoire
- Gregory F. Koors
All providers in Eugene, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.