Individual provider Active NPI

Alyssa Kathleen Greer, PA-C

  • Medical Physician Assistant
  • Spring Grove, PA
National Provider Identifier
1982440764
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA065688 Issued in PA
Practice address
22 Roth Church Rd
Spring Grove, PA 17362-1406
Phone
(717) 757-3400
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA065688 PA Primary

Addresses

Primary practice location

22 Roth Church Rd
Spring Grove, PA 17362-1406

Mailing address

1653 Westgate Dr Apt 103
York, PA 17408-6330
Phone (724) 900-8635

Other practice location 1

2860 Carol Rd
York, PA 17402-3857
Phone (717) 757-3400

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
MA065688PAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: agreer434738@upmc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1982440764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 WESTGATE DR APT 103",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174086330",
            "telephone_number": "724-900-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ROTH CHURCH RD",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621406",
            "telephone_number": "717-757-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2860 Carol Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174023857",
            "country_code": "US",
            "telephone_number": "717-757-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "ALYSSA",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.