Angie M Greenfield

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

296389 Issued in NY

Practice address

5047 Rogers Crossing Rd
Carthage, NY 13619-6105

Phone

(315) 489-9584

NPI assigned

Jun 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angie M Gibeau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1750720793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 ROGERS CROSSING RD",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136196105",
            "telephone_number": "315-489-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5047 ROGERS CROSSING RD",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136196105",
            "telephone_number": "315-489-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "ANGIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "296389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "GIBEAU",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Michele Ginyard, M.D.
• Michael Elijah Gordon Jr., M.D.
• Kaliope Goutis
• James T Gratch, RPH
• Jeri Lynn Gray, LMSW
• Christopher Paul Grudowski, MSN/FNP
• Guided Path Counseling Services, LCSW, PC
• Guided Path Counseling Services, LCSW, PC
• Guthrie Ahc (BH Satellite Clinic-Carthage)
• Jamie L Guyette, LMSW

• Licensed Practical Nurse in Carthage, NY
• Providers in Carthage, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.