Individual provider Active NPI

Denise Marie Riley-Greenwood, LPN

  • Licensed Practical Nurse
  • Valley Stream, NY
National Provider Identifier
1942579719
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
308711-1 Issued in NY
Practice address
923 Custer St
Valley Stream, NY 11580-1211
Phone
(516) 599-0467
Fax
(516) 599-0467
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 308711-1 NY Primary
Licensed Practical Nurse 164W00000X 034080 CT

Addresses

Primary practice location

923 Custer St
Valley Stream, NY 11580-1211

Mailing address

923 Custer St
Valley Stream, NY 11580-1211
Phone (516) 599-0467

Other names 1

  • Denise Marie Riley-Calder 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

State licenses

LicenseStateTypeSpecialty
034080CTMDLicensed Practical Nurse
308711-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1942579719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 CUSTER ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801211",
            "telephone_number": "516-599-0467",
            "fax_number": "516-599-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 CUSTER ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801211",
            "telephone_number": "516-599-0467",
            "fax_number": "516-599-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY-GREENWOOD",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "308711-1",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "034080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "RILEY-CALDER",
            "middle_name": "MARIE",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.