Individual provider Active NPI

Nicole Michaud Greer

  • Licensed Practical Nurse
  • East Sandwich, MA
National Provider Identifier
1689159790
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN91649 Issued in MA
Practice address
6 Roberts Way
East Sandwich, MA 02537-1057
Phone
(401) 405-6672
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN91649 MA Primary

Addresses

Primary practice location

6 Roberts Way
East Sandwich, MA 02537-1057

Mailing address

6 Roberts Way
East Sandwich, MA 02537-1057
Phone (401) 405-6672

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

LicenseStateTypeSpecialty
LN91649MAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1689159790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROBERTS WAY",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371057",
            "telephone_number": "401-405-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ROBERTS WAY",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371057",
            "telephone_number": "401-405-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "NICOLE",
        "middle_name": "MICHAUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN91649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Sandwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.