Individual provider Active NPI

Shanna Carlee Greminger, DNP, MS, FNP, BC-ADM

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
National Provider Identifier
1346227899
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
5015363 Issued in NC
Practice address
1818 Euclid Ave
Charlotte, NC 28203-4706
Phone
(888) 510-7357
Fax
(888) 510-8057
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X R13170 MD
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0024171682 VA
Family Nurse Practitioner 363LF0000X 5015363 NC
Family Nurse Practitioner 363LF0000X 9057 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 5015363 NC Primary

Addresses

Primary practice location

1818 Euclid Ave
Charlotte, NC 28203-4706

Mailing address

1818 Euclid Ave
Charlotte, NC 28203-4706
Phone (888) 510-7357

Other identifiers 1

IdentifierTypeStateIssuer
375946YZDSOtherMDMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R13170MDMDEndocrinology, Diabetes & Metabolism Physician
0024171682VAMDEndocrinology, Diabetes & Metabolism Physician
9057CAMDPhysical Therapist
5015363NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1346227899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 EUCLID AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034706",
            "telephone_number": "888-510-7357",
            "fax_number": "888-510-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 EUCLID AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034706",
            "telephone_number": "888-510-7357",
            "fax_number": "888-510-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMINGER",
        "first_name": "SHANNA",
        "middle_name": "CARLEE",
        "name_prefix": "Dr.",
        "credential": "DNP, MS, FNP, BC-ADM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "R13170",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0024171682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015363",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9057",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "5015363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "375946YZDS",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.