Greene Roots Wellness & Telehealth PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GREENE ROOTS WELLNESS & TELEHEALTH PLLC

Practice address

60 Woodlore Cir
Little Rock, AR 72211-2354

Phone

(501) 563-8535

NPI assigned

Aug 29, 2025

Last updated

Nov 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corey Lee Greene, APRNNPI 1881454601

Title

Nurse Practitioner

Phone

(501) 563-8535

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corey Lee Greene, APRN, CNP

  • Primary Care Nurse Practitioner
  • Conway, AR
  • NPI 1881454601

  Gerontology

  Medicare reassignment NPD Authorized official
• Michael Gerard Hazlewood, PH.D.

  • Clinical Neuropsychologist
  • Little Rock, AR
  • NPI 1043218472
  NPD (past)

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1356220651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WOODLORE CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112354",
            "telephone_number": "501-747-7608",
            "fax_number": "888-496-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WOODLORE CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112354",
            "telephone_number": "501-563-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE ROOTS WELLNESS & TELEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "501-563-8535",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Kyle Green
• Shelby B Green, CRNA
• Sherry Green
• Sue Green
• Stewart Greenberg, MD
• Cassandra Greene, LCSW
• Kimla Greene
• Marcus Greene, PMHNP
• Michael Shane Greene, PHARM. D.
• Shannon Greenfield, PHD

• Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.