Individual provider Active NPI

Peggy S Greene

  • Registered Dietitian
  • Olney, MD
National Provider Identifier
1801063284
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX2426 Issued in MD
Practice address
18109 Prince Philip Dr
Suite 325
Olney, MD 20832
Phone
(301) 774-8727
Fax
(301) 774-8728
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX2426 MD Primary

Addresses

Primary practice location

18109 Prince Philip Dr
Suite 325
Olney, MD 20832

Mailing address

18109 Prince Philip Dr
Suite 325
Olney, MD 20832
Phone (301) 774-8727

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David R. Brown, MD, PHD, PA Past Accepting new patients
Montgomery General Hospital Inc PastSince Dec 12, 2012 Accepting new patients
MGH Community Health, Inc. Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1801063284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR",
            "address_2": "SUITE 325",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-774-8727",
            "fax_number": "301-774-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR",
            "address_2": "SUITE 325",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-774-8727",
            "fax_number": "301-774-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "PEGGY",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.