Individual provider Active NPI

Greer Michelle Creehan

  • Community Health Registered Nurse
  • Panama City, FL
National Provider Identifier
1497327902
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
3291332 Issued in FL
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

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3291332FLMDCommunity 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.

Verify at the official NPI Registry.