Individual provider Active NPI

Ersular Greene, RN

  • Registered Nurse
  • Woodbridge, VA
National Provider Identifier
1841550605
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1026078 Issued in DC
Practice address
13681 Kitty Hawk Way
Apt. 301
Woodbridge, VA 22191-5234
Phone
(989) 992-6693
NPI assigned
May 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001235443 VA
Registered Nurse 163W00000X RN1026078 DC Primary

Addresses

Primary practice location

13681 Kitty Hawk Way
Apt. 301
Woodbridge, VA 22191-5234

Mailing address

13681 Kitty Hawk Way
Apt. 301
Woodbridge, VA 22191-5234
Phone (989) 992-6693

Other names 1

  • Ersular 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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1026078DCMDRegistered Nurse
0001235443VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1841550605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13681 KITTY HAWK WAY",
            "address_2": "APT. 301",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915234",
            "telephone_number": "989-992-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 KITTY HAWK WAY",
            "address_2": "APT. 301",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915234",
            "telephone_number": "989-992-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ERSULAR",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001235443",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1026078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERSULAR",
            "last_name": "GREENE",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.