Active NPI
Greenlight Health
- Case Management Registered Nurse
- Mount Vernon, NY
National Provider Identifier
1740705458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 678305
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeannelle Ernest-Hill
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 678305 | NY | Primary |
| Case Management Registered Nurse | 163WC0400X | 608167 | NY | |
| Community Health Registered Nurse | 163WC1500X | 608167 | NY | |
| Diabetes Educator Registered Nurse | 163WD0400X | 678305 | NY | |
| General Practice Registered Nurse | 163WG0000X | 342021 | NY | |
| Nutrition Support Registered Nurse | 163WN1003X | 678305 | NY | |
| Community Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.