Individual provider Active NPI

Emily Rose Greenlee, FNP-C

  • Family Nurse Practitioner
  • Albemarle, NC
National Provider Identifier
1639575376
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007314 Issued in NC
Practice address
232 Concord Rd
Albemarle, NC 28001-4612
Phone
(704) 986-3900
Fax
(704) 986-3913
NPI assigned
Nov 7, 2014
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5007314 NC Primary

Addresses

Primary practice location

232 Concord Rd
Albemarle, NC 28001-4612

Mailing address

232 Concord Rd
Albemarle, NC 28001-4612
Phone (704) 986-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022001198 NC Practitioner - Nurse Practitioner 4688983935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leonard D Saltzman MD PAGroup PAC ID 4486848496, 3 clinicians

Practice addresses (Care Compare)

1420 G US 52
Albemarle, NC 28001-2622
Phone (704) 982-9877

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007314NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard D Saltzman MD PA CurrentSince Oct 6, 2020 Accepting new patients
Revelstone Family Practice Family CurrentSince Feb 1, 2021 Accepting new patients

Locations

1420G US 52 North
Albemarle, NC 28001
Phone (704) 982-9877

232 Concord Rd
Albemarle, NC 28001
Phone (704) 983-0911

319 Yadkin St
Albemarle, NC 28001
Phone (704) 983-3681

Interoperability endpoints

  • Direct secure messaging: emily.greenlee.1@26155.direct.athenahealth.com
  • Direct secure messaging: emily.greenlee.1@2678.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1639575376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 CONCORD RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014612",
            "telephone_number": "704-986-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CONCORD RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014612",
            "telephone_number": "704-986-3900",
            "fax_number": "704-986-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.