Lacey Michelle Grebner, EFDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

DF004821 Issued in PA

Practice address

1010 Delafield Rd
Pittsburgh, PA 15240-1005

Phone

(412) 822-2145

NPI assigned

Jun 21, 2021

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

Electronic endpoints 1

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1962071316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 PIKEVIEW DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152391329",
            "telephone_number": "412-737-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DELAFIELD RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152401005",
            "telephone_number": "412-822-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBNER",
        "first_name": "LACEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "EFDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "PA",
            "license": "DF004821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmg121@pitt.edu",
            "affiliation": "N",
            "address_1": "1010 Delafield Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152401005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Kevin Greathouse, MD
• Mary Greathouse, PMHNP-BC
• Carina Danielle Grebeck, NP-C
• Liliya Grebenyuk, MD
• Sophie Elizabeth Grebinoski, DPT, PT
• Jacquelin Spring Grecco, M.S., CCC-SLP/L
• Carol M Greco, PH.D.
• Frank Greco
• Marcus Anthony Greco, PHARMD
• Susan Greco, OT

• Dental Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Dental Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.