Paxton Joann Greco

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36003399A Issued in IN

Practice address

1407 Howard Street, Evansville, in, USA
C14
Evansville, IN 47713

Phone

(217) 299-5388

NPI assigned

Feb 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1801480843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 HOWARD STREET, EVANSVILLE, IN, USA",
            "address_2": "C14",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47713",
            "telephone_number": "217-299-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 HOWARD STREET, EVANSVILLE, IN, USA",
            "address_2": "C14",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47713",
            "telephone_number": "217-299-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "PAXTON",
        "middle_name": "JOANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003399A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ueliveevansville-my.sharepoint.com/personal/pg53_evansville_edu/_layouts/15/onedrive.aspx",
            "affiliation": "N",
            "endpointDescription": "onedrive",
            "address_1": "1407 Howard Street, Evansville, IN, USA",
            "address_2": "C14",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kylen Matthew Gray, PT, DPT
• Lindsey Ann Grayson
• Tiffany Lynne Grayson, PT
• Patrick W. Greaney, RN
• Brandy Marie Greco, DDS
• Green River Family Dental, P.C.
• Alyssa Green, MS CCC-SLP
• Amanda Jean Green, PTA
• Amber N Green, MSW
• Derek R. Green, PHARM.D.

• Athletic Trainer in Evansville, IN
• Providers in Evansville, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.