Theresa Louise Greenup

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

993457 Issued in CO

Practice address

1980 Dominion Way Ste 101
Colorado Springs, CO 80918-1475

Phone

(719) 358-6428

NPI assigned

Dec 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Louise Kaminski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: theresa.greenup@1016694758113284.direct.elationemr.com

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.

• Robert Marriott Medical Corp

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938
  NPD (past)

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1851806798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 E PIKES PEAK AVE STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096089",
            "telephone_number": "719-314-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 DOMINION WAY STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181475",
            "telephone_number": "719-358-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENUP",
        "first_name": "THERESA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "993457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "KAMINSKI",
            "middle_name": "LOUISE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Greening, DDS
• Kelli Greenleaf
• Sheryl L Greenlee, LPC
• Melissa Mullins Greenspan, APRN
• Stacy L Greenspan, DO
• Aubrey Millward Greenwall, OTD, OTR/L
• Ian C Greer, DPT
• Karin Saskia Greer, PA-C
• Leigh Ann Greer, DDS
• Andrea Ann Bucci Gregerson, MD

• Adult Health Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.