Active NPI
Virginia Arent Greco, APNP
- Gerontology Nurse Practitioner
- Wauwatosa, WI
National Provider Identifier
1558352237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2192-033
- Practice address
- 830 N 109TH St
Ste 1
Wauwatosa, WI 53226-3754 - Phone
- (414) 777-1811
- Fax
- (414) 777-1812
- NPI assigned
- Nov 2, 2005
- Last updated
- Dec 7, 2012
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2192-033 | WI | Primary |
Addresses
Primary practice location
830 N 109TH St
Ste 1
Wauwatosa, WI 53226-3754
Mailing address
830 N 109TH St
Ste 1
Wauwatosa, WI 53226-3754
Phone (414) 777-1811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43974800 | Medicaid | WI |
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 |
|---|---|---|---|
| 2192-033 | WI | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1558352237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 N 109TH ST",
"address_2": "STE 1",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263754",
"telephone_number": "414-777-1811",
"fax_number": "414-777-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 N 109TH ST",
"address_2": "STE 1",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263754",
"telephone_number": "414-777-1811",
"fax_number": "414-777-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "VIRGINIA",
"middle_name": "ARENT",
"name_prefix": "Mrs.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "2192-033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43974800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.