Individual provider Active NPI

Catina N Greene, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1912443656
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5008364 Issued in NC
Practice address
833 Wake Forest Business Park Ste F
Wake Forest, NC 27587-7184
Phone
(919) 230-1419
Fax
(984) 278-6610
NPI assigned
Jan 18, 2017
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 172218 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5008364 NC Primary

Addresses

Primary practice location

833 Wake Forest Business Park Ste F
Wake Forest, NC 27587-7184

Mailing address

6621 Prescott Shore Dr
Wake Forest, NC 27587-8564
Phone (919) 667-5888

Other practice location 1

1724 Rapids Ct
Franklinton, NC 27525-7043
Phone (919) 667-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180426002873 NC Practitioner - Nurse Practitioner 6507129707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

833 Wake Forest Business Park
Suite F
Wake Forest, NC 27587-7184
Phone (919) 230-1419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
172218NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greene Mental Wellness, PLLC CurrentSince Apr 1, 2022 Accepting new patients
Clemons Resiliency & Wellness PLLC Psychiatric/Mental Health CurrentSince Dec 10, 2023 Accepting new patients

Locations

833 Wake Forest Business Park
Ste F
Wake Forest, NC 27587
Phone (919) 230-1419

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1912443656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 PRESCOTT SHORE DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878564",
            "telephone_number": "919-667-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 WAKE FOREST BUSINESS PARK STE F",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877184",
            "telephone_number": "919-230-1419",
            "fax_number": "984-278-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1724 Rapids Ct",
            "address_purpose": "LOCATION",
            "city": "Franklinton",
            "state": "NC",
            "postal_code": "275257043",
            "country_code": "US",
            "telephone_number": "919-667-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "CATINA",
        "middle_name": "N",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "172218",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5008364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.