Lisa A Greenway, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9315849 Issued in FL

Practice address

121 W Macclenny Ave
Macclenny, FL 32063-2029

Phone

(904) 259-6380

NPI assigned

Oct 4, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1477028561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GREEN PINE CIR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652566",
            "telephone_number": "904-416-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632029",
            "telephone_number": "904-259-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWAY",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9315849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George C. Weeks, DDS PA
• Natalie Gerido
• Kallie Rae Gibson, PT
• Lakeyta Nacole Givens
• Lara Miriam Greenwald, D.D.S.
• Deborah L Griggs, DDS
• H2 Rehabilitation Services of Florida, LLC
• Tara T Hackney, DMD
• Donald O Hall, DO
• Judith Hallstrom, M.D.

• All providers in Macclenny, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.