Theresa Gregg, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

433982 Issued in NY

Practice address

1200 Driving Park Ave
2ND Floor
Newark, NY 14513-1090

Phone

(315) 359-2670

Fax

(315) 359-2675

NPI assigned

Nov 17, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1962005785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "315-359-2670",
            "fax_number": "315-359-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DRIVING PARK AVE",
            "address_2": "2ND FLOOR",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131090",
            "telephone_number": "315-359-2670",
            "fax_number": "315-359-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "THERESA",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "433982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Goldfarb, RN
• Marilyn D Goodman, REGISTERED NURSE
• Anne Coleman Gould, PT
• Chrystal Renee Greene, LPN
• Elizabeth Hannah Grefrath, LMSW
• Leah Grey
• Melissa Michelle Grummons, RN
• Joseph Arthur Grzegorski, PA
• Anne Marie Habeeb, OTR L
• Jacqlynn Halstead, MA/AC

• Registered Nurse First Assistant in Newark, NY
• Providers in Newark, NY by specialty
• Registered Nurse First Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.