Vicki S. Greene, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

562727 Issued in TX

Practice address

2101 S. Ih 35
Suite 121
Austin, TX 78741

Phone

(512) 433-2011

Fax

(512) 433-2073

NPI assigned

Jul 12, 2007

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1447459250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEMORIAL DR.",
            "address_2": "DEPT. OF VETERANS AFFAIRS",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047451",
            "telephone_number": "254-743-0139",
            "fax_number": "512-433-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S. IH 35",
            "address_2": "SUITE 121",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78741",
            "telephone_number": "512-433-2011",
            "fax_number": "512-433-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "VICKI",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "562727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188681401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Y. Greene, LPC
• Julia Greene, M.ED, BCBA, LBA
• Kai Jason Greene, CCC SLP # 12045275
• Seth Amos Greene
• Shannon M. Greene, PH.D., LMFT
• Laura Lynn Greenlee, PHD, NCC, LPCS
• Emily Strassner Greenspahn, PH.D.
• Greenstaff Home Care
• Andrew Scott Greenstone, PSY.D.
• Pamela Celeste Greenstone, L.P.C.

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.