Active NPI
Briana Greenlee, RDN
- Registered Dietitian
- Waterford, MI
National Provider Identifier
1467982074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86071981
- Practice address
- 3819 Faber Terrace
Waterford, MI 48328 - Phone
- (970) 443-2352
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86071981 | CO | Primary |
Addresses
Primary practice location
3819 Faber Terrace
Waterford, MI 48328
Mailing address
3819 Faber Ter
Waterford, MI 48328-4031
Phone (970) 443-2352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86071981 | CO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467982074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3819 FABER TER",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483284031",
"telephone_number": "970-443-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3819 FABER TERRACE",
"city": "WATERFORD",
"state": "MI",
"postal_code": "48328",
"telephone_number": "970-443-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLEE",
"first_name": "BRIANA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86071981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.