Individual provider Active NPI

Tamara R Greer, FNP-BC

  • Family Nurse Practitioner
  • Knob Noster, MO
National Provider Identifier
1720537137
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016034927 Issued in MO
Practice address
600 E Allen St
Knob Noster, MO 65336-1184
Phone
(660) 563-5555
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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 2016034927 MO Primary

Addresses

Primary practice location

600 E Allen St
Knob Noster, MO 65336-1184

Mailing address

600 E Allen St
Knob Noster, MO 65336-1184
Phone (660) 563-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20161121000506 MO Practitioner - Nurse Practitioner 8628357373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016034927MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Hospice of Kansas City CurrentSince Mar 19, 2018 Accepting new patients
Crossroads Hospice of Kansas City LC CurrentSince Nov 6, 2022 Accepting new patients

Locations

14310 E 42nd St S
Ste 600
Independence, MO 64055
Phone (816) 333-7308

10810 E 45th St
Ste 300
Tulsa, OK 74146

Organizations & group practices 2

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1720537137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E ALLEN ST",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653361184",
            "telephone_number": "660-563-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E ALLEN ST",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653361184",
            "telephone_number": "660-563-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "TAMARA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016034927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knob Noster, MO

Sources for this page

Verify at the official NPI Registry.