Active NPI
Carolyn Kay Greening, CNS
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Hannibal, MO
National Provider Identifier
1508885187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 071592
- Practice address
- 141 Communication Dr
Hannibal, MO 63401-3670 - Phone
- (573) 795-7342
- Fax
- (573) 248-3080
- NPI assigned
- Jul 18, 2006
- Last updated
- Mar 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 071592 | MO | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 071592 | MO | Primary |
Addresses
Primary practice location
141 Communication Dr
Hannibal, MO 63401-3670
Mailing address
900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428646723 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071592 | MO | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Twain Association for Mental Health, Inc | Current | Accepting new patients | |
| Mark Twain Association for Mental Health, Inc. | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Past | Accepting new patients | |
| Northeast Missouri Imaging Associates, Inc. | Past | Accepting new patients | |
| Gadson Clinic | Past | Accepting new patients |
Locations
154 Forrest Dr
Hannibal, MO 63401
Phone (573) 221-2120
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mark Twain Behavioral Health
- Community/Behavioral Health Agency
- Hannibal, MO
- NPI 1104368703
-
dba Mark Twain Behavioral Health
- Community/Behavioral Health Agency
- Hannibal, MO
- NPI 1700933363
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Diagnostic Radiology Physician
- Hannibal, MO
- NPI 1356309306
-
- Specialist
- Quincy, IL
- NPI 1528059250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1508885187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E LAHARPE ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635014520",
"telephone_number": "660-665-1962",
"fax_number": "660-665-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 COMMUNICATION DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634013670",
"telephone_number": "573-795-7342",
"fax_number": "573-248-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENING",
"first_name": "CAROLYN",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "MO",
"license": "071592",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MO",
"license": "071592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428646723",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.