Individual provider Active NPI

Hannah Marie Greene, PA-C

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1689428344
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
PA-0008532 Issued in CO
Practice address
1260 S Parker Rd
Denver, CO 80231-8064
Phone
(303) 728-9872
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PA-0008532 CO Primary

Addresses

Primary practice location

1260 S Parker Rd
Denver, CO 80231-8064

Mailing address

2391 W 56TH Ave
Denver, CO 80221-1807

Other practice location 1

1536 Cole Blvd Ste 335
Lakewood, CO 80401-3413
Phone (720) 504-8068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202002390 CO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4688167331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA-0008532COMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: hannah.greene.1@16716.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1689428344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 W 56TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802211807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S PARKER RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802318064",
            "telephone_number": "303-728-9872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1536 Cole Blvd Ste 335",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "804013413",
            "country_code": "US",
            "telephone_number": "720-504-8068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "PA-0008532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.