Theresa Greene

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1016 Euclid Ave
Charlotte, NC 28203-4520

Phone

(704) 807-5699

Fax

(704) 631-4574

NPI assigned

Apr 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kinetic Kids, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Charlotte, NC
  • NPI 1891949707
  NPD (past)

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493424000000",
    "number": "1346775152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 BROOKDALE DR",
            "address_2": "SUITE 100-122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158719",
            "telephone_number": "704-807-5699",
            "fax_number": "704-631-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 EUCLID AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034520",
            "telephone_number": "704-807-5699",
            "fax_number": "704-631-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-29",
        "last_updated": "2017-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "4223686",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Greene
• Ralph L Greene, MD
• Sarah McGeachy Greene, LCSW
• Tamikia Scott Greene, ED. D, LPCS, LCAS
• Terry D Greene, BA, QMHP, CDS
• Tianna Kathryn Powell Greene, CNM
• Tirrell Greene III
• Tishay M Greene
• Trey Greene, MSW,LCSWA
• Walter Greene

• Case Manager/Care Coordinator in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2017; 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.