Active NPI
Greer Michelle Creehan
- Community Health Registered Nurse
- Panama City, FL
National Provider Identifier
1497327902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 3291332
- Practice address
- 14433 Blue Lake Rd
Panama City, FL 32409-4666 - Phone
- (850) 640-9858
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 3291332 | FL | Primary |
Addresses
Primary practice location
14433 Blue Lake Rd
Panama City, FL 32409-4666
Mailing address
14433 Blue Lake Rd
Panama City, FL 32409-4666
Phone (850) 738-3085
Other practice location 1
14433 Blue Lake Rd
Panama City, FL 32409-4666
Phone (850) 738-3085
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 |
|---|---|---|---|
| 3291332 | FL | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1497327902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14433 BLUE LAKE RD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324094666",
"telephone_number": "850-738-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14433 BLUE LAKE RD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324094666",
"telephone_number": "850-640-9858"
}
],
"practiceLocations": [
{
"address_1": "14433 Blue Lake Rd",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324094666",
"country_code": "US",
"telephone_number": "850-738-3085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREEHAN",
"first_name": "GREER",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "FL",
"license": "3291332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.