Active NPI
Jennifer Greiner, NP
- Family Nurse Practitioner
- Appleton, WI
National Provider Identifier
1477698603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2319-033
- Practice address
- 1531 S Madison St
Suite 250
Appleton, WI 54915-1800 - Phone
- (920) 730-4429
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2319-033 | WI | Primary |
Addresses
Primary practice location
1531 S Madison St
Suite 250
Appleton, WI 54915-1800
Mailing address
3232 N Ballard Rd
Suite 200
Appleton, WI 54911-8804
Phone (920) 749-9668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41178900 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2319-033 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1477698603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 N BALLARD RD",
"address_2": "SUITE 200",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118804",
"telephone_number": "920-749-9668",
"fax_number": "920-734-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 S MADISON ST",
"address_2": "SUITE 250",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151800",
"telephone_number": "920-730-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREINER",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "2319-033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41178900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.