Active NPI
Susan P Lineberry, NP
- Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1497920029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 800017
- Practice address
- 510 N Elam Ave
Suite 101
Greensboro, NC 27403-1150 - Phone
- (336) 854-8800
- Fax
- (336) 299-4308
- NPI assigned
- Apr 24, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 800017 | NC | Primary |
Addresses
Primary practice location
510 N Elam Ave
Suite 101
Greensboro, NC 27403-1150
Mailing address
510 N Elam Ave
Suite 101
Greensboro, NC 27403-1150
Phone (336) 854-8800
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 |
|---|---|---|---|
| 800017 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1497920029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N ELAM AVE",
"address_2": "SUITE 101",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031150",
"telephone_number": "336-854-8800",
"fax_number": "336-299-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N ELAM AVE",
"address_2": "SUITE 101",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031150",
"telephone_number": "336-854-8800",
"fax_number": "336-299-4308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINEBERRY",
"first_name": "SUSAN",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "800017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.