L Pamela Greene, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP08396 Issued in OH

Practice address

2701 Moorefield Rd
Springfield, OH 45502-8207

Phone

(937) 399-6650

NPI assigned

Nov 7, 2006

Last updated

Jul 12, 2007By 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

Certified Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1710056395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MOOREFIELD RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MOOREFIELD RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028207",
            "telephone_number": "937-399-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "L",
        "middle_name": "PAMELA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP08396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2707093",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Adult Programming LLC
• Grand Lake Podiatry Inc
• Dana Lynn Graupe
• Green TWP Trustees (Hustead-Green Township EMS)
• Pamela Sue Green
• Lacasta Greene
• Ashley Greer
• Greg a. Hixon DC Inc.
• Greg a.Hixon D.C., Inc.
• Heidi Renee Gregory

• Adult Health Nurse Practitioner in Springfield, OH
• Providers in Springfield, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.