Individual provider Active NPI

Cynthia Leah Greenlee, AP60057913

  • Family Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1740434547
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP 60057913 Issued in WA
Practice address
616 6TH St
Bremerton, WA 98337-1420
Phone
(360) 377-3776
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 00160025 WA
Family Nurse Practitioner 363LF0000X AP 60057913 WA Primary

Addresses

Primary practice location

616 6TH St
Bremerton, WA 98337-1420

Mailing address

PO Box 960
Bremerton, WA 98337-0212
Phone (360) 478-2366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20090102000358 WA Practitioner - Nurse Practitioner 3577625300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Community Health ServicesGroup PAC ID 9436044781, 47 clinicians

Practice addresses (Care Compare)

5455 Almira Dr NE
Bremerton, WA 98311-8330
Phone (360) 377-3776

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 00160025WAMDRegistered Nurse
AP 60057913WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services CurrentSince May 1, 2022 Accepting new patients
Peninsula Community Health Services Past Accepting new patients
Peninsula Community Health Services Past Accepting new patients

Locations

616 6th St
Bremerton, WA 98337
Phone (360) 478-2366

5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031

2508 Wheaton Way
Bremerton, WA 98310
Phone (360) 621-2696

320 S Kitsap Blvd
Port Orchard, WA 98366
Phone (360) 876-7215

Interoperability endpoints

  • Direct secure messaging: cynthia.greenlee.1@13902.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1740434547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983370212",
            "telephone_number": "360-478-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 6TH ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371420",
            "telephone_number": "360-377-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "CYNTHIA",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "AP60057913",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN 00160025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP 60057913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.