Madia Mona Greaves, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

RN482107 Issued in OH

Practice address

1075 Amanda Cir
Toledo, OH 43615-6748

Phone

(856) 982-9145

NPI assigned

Mar 27, 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1871170514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 AMANDA CIR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156748",
            "telephone_number": "856-982-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 AMANDA CIR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156748",
            "telephone_number": "856-982-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAVES",
        "first_name": "MADIA",
        "middle_name": "MONA",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OH",
            "license": "RN482107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kpaku@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1075 Amanda Cir",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436156748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Great Lakes PCS 1 LLC
• Greater Toledo Behavioral Hospital
• Greater Toledo Urgent Cares
• Greater Toledo Urgent Cares, LLC.
• Chloe Greaves
• Jennifer Ann Grech, DO
• Eudoxia Grecos, LPCC-S
• Green Options for Autism of Lucas County
• Destinee Green-Duncan
• Frieda Ann Green-Hill

• Gerontology Registered Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Gerontology Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.