Eleanor J Greenwall, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A094211 Issued in IA

Practice address

1501 E 10TH St
Atlantic, IA 50022-1936

Phone

(712) 243-2850

Fax

(712) 243-5111

NPI assigned

Sep 22, 2006

Last updated

Apr 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1699874685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-2850",
            "fax_number": "712-243-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-2850",
            "fax_number": "712-243-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALL",
        "first_name": "ELEANOR",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A094211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1183533",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis P Gerbino, M.D.
• Jeffrey Michael Goergen, O.D.
• Patricia Lynn Goodemote, MD
• Brent F Goodrich, CRNA
• Carol Jane Graves
• Taylor Griffin, CADC
• Mark Habel, ARNP
• Jack C Hansen, PHARM D
• Rachel Jean Hansen, MS,OTR/L
• Elisha Hardy, ARNP

• Nurse Practitioner in Atlantic, IA
• Providers in Atlantic, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.