Individual provider Active NPI

Patricia Cathrine Greene, AA/RN

  • Registered Nurse
  • Crooked River Ranch, OR
National Provider Identifier
1770770877
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Practice address
14200 SW Canary Rd.
Crooked River Ranch, OR 97760
Phone
(541) 923-6288
Fax
(541) 548-7511
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X OR Primary

Addresses

Primary practice location

14200 SW Canary Rd.
Crooked River Ranch, OR 97760

Mailing address

14200 SW Canary Rd
Crooked River Ranch, OR 97760-8928
Phone (541) 504-8399

Other names 1

  • Mrs. Patricia Cathrine Greene Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Associate of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
079042988RNORMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1770770877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 SW CANARY RD",
            "city": "CROOKED RIVER RANCH",
            "state": "OR",
            "postal_code": "977608928",
            "telephone_number": "541-504-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 SW CANARY RD.",
            "city": "CROOKED RIVER RANCH",
            "state": "OR",
            "postal_code": "97760",
            "telephone_number": "541-923-6288",
            "fax_number": "541-548-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "PATRICIA",
        "middle_name": "CATHRINE",
        "credential": "AA/RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GREENE",
            "middle_name": "CATHRINE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Crooked River Ranch, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.