Active NPI
Lisa Wauchope-Greenland
- Registered Nurse
- Mamaroneck, NY
National Provider Identifier
1568847655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 5064821
- Practice address
- 275 Fifth Street
Mamaroneck, NY 10543 - Phone
- (914) 224-3285
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 5064821 | NY | Primary |
Addresses
Primary practice location
275 Fifth Street
Mamaroneck, NY 10543
Mailing address
275 5TH St
Mamaroneck, NY 10543-3101
Phone (914) 224-3285
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5064821 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1568847655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 5TH ST",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433101",
"telephone_number": "914-224-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 FIFTH STREET",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "10543",
"telephone_number": "914-224-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUCHOPE-GREENLAND",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "5064821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.