Individual provider Active NPI

Laura A Greicus, RN, RNP

  • Adult Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1689751786
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11017 Issued in CA
Practice address
2130 Fillmore St
#397
San Francisco, CA 94115-2224
Phone
(415) 373-7446
Fax
(415) 571-8319
NPI assigned
Nov 1, 2006
Last updated
Oct 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11017 CA Primary

Addresses

Primary practice location

2130 Fillmore St
#397
San Francisco, CA 94115-2224

Mailing address

2663 39TH Ave
#3
San Francisco, CA 94116-2754
Phone (415) 571-8319

Other identifiers 2

IdentifierTypeStateIssuer
NP 11017OtherCANP CERTIFICATE
RN 488022OtherCARN LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110127000966 CA Practitioner - Nurse Practitioner 9638358286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11017CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Dec 13, 2010 Accepting new patients
County of San Mateo CurrentSince Dec 13, 2010 Accepting new patients
County of San Mateo CurrentSince Jun 5, 2018 Accepting new patients
County of San Mateo CurrentSince Jun 5, 2018 Accepting new patients

Locations

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: lgreicus19460@smch.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1689751786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 39TH AVE",
            "address_2": "#3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162754",
            "telephone_number": "415-571-8319",
            "fax_number": "415-571-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 FILLMORE ST",
            "address_2": "#397",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152224",
            "telephone_number": "415-373-7446",
            "fax_number": "415-571-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREICUS",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN, RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "11017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERTIFICATE",
            "identifier": "NP 11017",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENCE",
            "identifier": "RN 488022",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.