Tracee Greenwade, CBHCMS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3292 County Road 220
Middleburg, FL 32068-4357

Phone

(904) 945-7486

NPI assigned

Dec 7, 2021

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1588322523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 ANNE BONNEY DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320432363",
            "telephone_number": "706-934-1056",
            "fax_number": "904-724-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 COUNTY ROAD 220",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684357",
            "telephone_number": "904-945-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWADE",
        "first_name": "TRACEE",
        "credential": "CBHCMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciarra Gray, LMHC
• Kristina Gray
• Great Strides Rehabilitation Inc.
• Great Strides Rehabilitation Inc.
• Michael A Greene, D.O.
• Roger Gref, CAP
• Jenny Jean Gregory, ARNP
• Madeline Jane Grooms, PA-C
• Nicholas Banks Grubor, DMD
• H2 Rehabilitation Services of Florida LLC (H2 Health)

• Case Manager/Care Coordinator in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.