Greta Mills Mann, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

84933 Issued in TX

Practice address

5253 Prue Rd Ste 315C
San Antonio, TX 78240-1758

Phone

(210) 750-8100

Fax

(210) 750-8101

NPI assigned

Feb 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Greta Mills Mann Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• LHCG Cxvii, LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1518482181
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1376008276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 PRUE RD STE 315C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401758",
            "telephone_number": "210-750-8100",
            "fax_number": "210-750-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 PRUE RD STE 315C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401758",
            "telephone_number": "210-750-8100",
            "fax_number": "210-750-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "GRETA",
        "middle_name": "MILLS",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "84933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETA",
            "last_name": "MANN",
            "middle_name": "MILLS",
            "prefix": "MRS.",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brenna Breann Mann, PHARM.D.
• Chandler Robert Mann II, OD
• Chirel Marie Mann
• Dora A Mann, OTA
• Dustin Michael Mann, CPHT
• Guneet Jawanda Mann, MD
• Jamie Mann
• Kori Alyse Mann, MS, RD, LD, CNSC
• Stefani Mann
• Merlin Jose Mannalil

• Gerontology Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.