Athena Kathleen Greene, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002082087 Issued in VA

Practice address

2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225

Phone

(302) 781-4251

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

Yes

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1982257697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14304 JEFFRIES RD APT 705",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912722",
            "telephone_number": "443-600-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HICKORY RD STE 240",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622225",
            "telephone_number": "302-781-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ATHENA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002082087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Green, LPN
• Valeta Green
• Vickeara Green, CMA
• Aimee Greenbaum, PT
• Josette Greene-Seals
• Crystal Greene, LPN
• Juli Greene
• Susan Rachel Greenfield, PTA
• Shira Greenstone, OTR L
• Cynthia Greenwald

• Licensed Practical Nurse in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.