Individual provider Active NPI

Sarah Chambliss Greenerl, RN

  • Psychiatric/Mental Health Registered Nurse
  • Petersburg, VA
National Provider Identifier
1497921837
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
0001104757 Issued in VA
Practice address
20 W Bank St
Suite 6
Petersburg, VA 23803-3279
Phone
(804) 862-8002
Fax
(804) 862-8060
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 0001104757 VA Primary

Addresses

Primary practice location

20 W Bank St
Suite 6
Petersburg, VA 23803-3279

Mailing address

2816 Eagle Rock Rd
Petersburg, VA 23805-7723
Phone (804) 861-1536

Other identifiers 1

IdentifierTypeStateIssuer
4945280MedicaidVA

Other names 1

  • Sarah Virginia Greenerl Former 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

State licenses

LicenseStateTypeSpecialty
0001104757VAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1497921837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 EAGLE ROCK RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238057723",
            "telephone_number": "804-861-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W BANK ST",
            "address_2": "SUITE 6",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033279",
            "telephone_number": "804-862-8002",
            "fax_number": "804-862-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENERL",
        "first_name": "SARAH",
        "middle_name": "CHAMBLISS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001104757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945280",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GREENERL",
            "middle_name": "VIRGINIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.