Individual provider Active NPI

Donna Carole Greene

  • Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1780715565
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1032 Issued in NC
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

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7301200MedicaidNC

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

LicenseStateTypeSpecialty
1032NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.