Active NPI
Donna Carole Greene
- Occupational Therapist
- Raleigh, NC
National Provider Identifier
1780715565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1032
- Practice address
- 8007 Gilano Dr
Raleigh, NC 27603-9488 - Phone
- (919) 606-1019
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1032 | NC | Primary |
Addresses
Primary practice location
8007 Gilano Dr
Raleigh, NC 27603-9488
Mailing address
8007 Gilano Dr
Raleigh, NC 27603-9488
Phone (919) 606-1019
Other practice location 1
5948 Fisher Rd
Fayetteville, NC 28304-5640
Phone (910) 242-4114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301200 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032 | NC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kru Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Raleigh, NC
- NPI 1497842215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1780715565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8007 GILANO DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276039488",
"telephone_number": "919-606-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8007 GILANO DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276039488",
"telephone_number": "919-606-1019"
}
],
"practiceLocations": [
{
"address_1": "5948 Fisher Rd",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283045640",
"country_code": "US",
"telephone_number": "910-242-4114",
"fax_number": "910-378-1755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "DONNA",
"middle_name": "CAROLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "1032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301200",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.