Individual provider Active NPI

Tanara Pekay Harris Greene, R.N.

  • Administrator Registered Nurse
  • Brockton, MA
National Provider Identifier
1497033591
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
259413 Issued in MA
Practice address
43 Coburn St
Brockton, MA 02301-2701
Phone
(781) 985-6848
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 259413 MA Primary

Addresses

Primary practice location

43 Coburn St
Brockton, MA 02301-2701

Mailing address

43 Coburn St
Brockton, MA 02301-2701
Phone (781) 985-6848

Other names 1

  • Ms. Tanara Pekay Harris Greene Professional name

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
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1497033591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 COBURN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012701",
            "telephone_number": "781-985-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 COBURN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012701",
            "telephone_number": "781-985-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS GREENE",
        "first_name": "TANARA",
        "middle_name": "PEKAY",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MA",
            "license": "259413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANARA",
            "last_name": "HARRIS GREENE",
            "middle_name": "PEKAY",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.