Individual provider Active NPI

Brianna Greenly, NP

  • Family Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1528712759
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019110 Issued in CA
Practice address
6125 Paseo del Norte Ste 200
Carlsbad, CA 92011-1113
Phone
(760) 585-2662
NPI assigned
Feb 7, 2022
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95019110 CA Primary

Addresses

Primary practice location

6125 Paseo del Norte Ste 200
Carlsbad, CA 92011-1113

Mailing address

1277 Kettner Blvd Unit 101
San Diego, CA 92101-3381
Phone (916) 847-0815

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95019110CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bgreenly32329@sharphealthcare.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1528712759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 KETTNER BLVD UNIT 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013381",
            "telephone_number": "916-847-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 PASEO DEL NORTE STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111113",
            "telephone_number": "760-585-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLY",
        "first_name": "BRIANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.