Stacy Annette Greenwood, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

224662 Issued in TX

Practice address

1601 1/2 Belmont Blvd
Abilene, TX 79602-4822

Phone

(325) 280-5114

NPI assigned

Feb 16, 2018

Last updated

Feb 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1679073605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796040212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 1/2 BELMONT BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796024822",
            "telephone_number": "325-280-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "STACY",
        "middle_name": "ANNETTE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "224662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "14204123",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Thomas Green, LAT
• Shelly Renee Green, COTA
• Susan Blake Green
• Wade Green, MED, ATC, LAT
• Megan Blair Greenway, CFA
• James Greer, LMFT
• Leigh Ann Greer, PT, DPT
• Gregory P. Kroeger, MD PLLC
• James Gresham, PHARMD
• Maxwell Collins Gresham

• Licensed Vocational Nurse in Abilene, TX
• Providers in Abilene, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.