Individual provider Active NPI

Edricka Greene, RDMS

  • Diagnostic Ultrasound Physician
  • Humble, TX
National Provider Identifier
1902670037
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
197767 Issued in TX
Practice address
21650 Aldine Westfield Rd
Humble, TX 77338-1092
Phone
(713) 853-9139
Fax
(832) 626-9756
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 197767 TX Primary

Addresses

Primary practice location

21650 Aldine Westfield Rd
Humble, TX 77338-1092

Mailing address

2162 Spring Stuebner Rd Ste 140
Box 497
Spring, TX 77389-5299
Phone (713) 853-9139

Other practice location 1

6139 Kristen Park Ln
Humble, TX 77346-4024
Phone (713) 853-9139

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

State licenses

LicenseStateTypeSpecialty
197767TXMDDiagnostic Ultrasound Physician

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1902670037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 SPRING STUEBNER RD STE 140",
            "address_2": "BOX 497",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895299",
            "telephone_number": "713-853-9139",
            "fax_number": "832-626-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21650 ALDINE WESTFIELD RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773381092",
            "telephone_number": "713-853-9139",
            "fax_number": "832-626-9756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6139 Kristen Park Ln",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773464024",
            "country_code": "US",
            "telephone_number": "713-853-9139",
            "fax_number": "832-626-9756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "EDRICKA",
        "credential": "RDMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "TX",
            "license": "197767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.