N J Greenwell, L.M.T

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 25220 Issued in FL

Practice address

920 NW 8TH Ave
Suite-B
Gainesville, FL 32601-5071

Phone

(352) 373-6869

NPI assigned

Jun 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760685317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10437 NW 13TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068094",
            "telephone_number": "352-331-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 NW 8TH AVE",
            "address_2": "SUITE-B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015071",
            "telephone_number": "352-373-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "N",
        "middle_name": "J",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA 25220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "C8139",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenleaf Dialysis LLC
• Justice Nakhiya-Dai Greenlee, CNA
• Latonya Louise Greenlee
• Marlene Ginger Greenspan, LCSW
• Brandon Lee Greenwalt, DMD
• Darnell Austin Greenwood Jr.
• Jennifer A Greenwood, LMT
• Jessica Megan Greer, M.D.
• Megan Lura Marie Greer, COTA
• Andrew Grees, MD

• Specialist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.