Individual provider Active NPI

Darniesha Greene, NP-C

  • Family Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1710427653
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174602 Issued in VA
Practice address
188 Onville Rd
Stafford, VA 22556-3805
Phone
(540) 779-1648
Fax
(540) 602-7062
NPI assigned
Feb 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174602 VA Primary

Addresses

Primary practice location

188 Onville Rd
Stafford, VA 22556-3805

Mailing address

188 Onville Rd
Stafford, VA 22556-3805
Phone (540) 779-1648

Other names 1

  • Mrs. Darniesha Greene Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgreene88448@direct.virginiahospitalcenter.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170509000537 VA Practitioner - Nurse Practitioner 4789961350

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Care LLC CurrentSince Apr 1, 2017 Accepting new patients
Legacy Care Aco LLC CurrentSince Jan 1, 2024 Accepting new patients
Cavery Wellness of Stafford, LLC Past Accepting new patients

Locations

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

Interoperability endpoints

  • Direct secure messaging: dgreene88448@direct.virginiahospitalcenter.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1710427653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563805",
            "telephone_number": "540-779-1648",
            "fax_number": "540-602-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563805",
            "telephone_number": "540-779-1648",
            "fax_number": "540-602-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DARNIESHA",
        "name_prefix": "Prof.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-25",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgreene88448@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "3440 S Jefferson St",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220413145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DARNIESHA",
            "last_name": "GREENE",
            "prefix": "MRS.",
            "credential": "DARNIESHA GREENE NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.