Organization Active NPI

Greenlight Health

  • Case Management Registered Nurse
  • Mount Vernon, NY
National Provider Identifier
1740705458
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
678305 Issued in NY
Legal business name
GREENLIGHT HEALTH
Practice address
11 W Prospect Ave # 35
Mount Vernon, NY 10550-2017
Phone
(914) 494-5629
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Jeannelle Ernest-HillNPI 1497965891
Title
Founder/President
Phone
(914) 494-5629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X 678305 NY Primary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X 608167 NY
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X 608167 NY
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X 678305 NY
General Practice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0000X 342021 NY
Nutrition Support Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WN1003X 678305 NY
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X 342021 NY

Addresses

Primary practice location

11 W Prospect Ave # 35
Mount Vernon, NY 10550-2017

Mailing address

11 W Prospect Ave # 35
Mount Vernon, NY 10550-2017

Other names 1

  • Greenlight Chronic Care Health Coach Former legal business name

National Provider Directory

National Provider Directory

Locations

11 W Prospect Ave
#35
Mount Vernon, NY 10550
Phone (914) 269-3688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1740705458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W PROSPECT AVE # 35",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W PROSPECT AVE # 35",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502017",
            "telephone_number": "914-494-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLIGHT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "ERNEST-HILL",
        "authorized_official_first_name": "JEANNELLE",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "914-494-5629"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "678305",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "608167",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "608167",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "678305",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "342021",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "NY",
            "license": "678305",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NY",
            "license": "342021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenlight Chronic Care Health Coach",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.