Victoria Lauren Greenwell, ED.S., NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

0813001110 Issued in VA

Practice address

40 Douglas Ave NW
Roanoke, VA 24012-4611

Phone

(540) 853-2502

NPI assigned

Sep 22, 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roanoke City Public Schools

  • Local Education Agency (LEA)
  • Roanoke, VA
  • NPI 1154348985
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1992311294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 TWISTED OAK DR NW",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731124",
            "telephone_number": "859-333-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DOUGLAS AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240124611",
            "telephone_number": "540-853-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "VICTORIA",
        "middle_name": "LAUREN",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813001110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Sarah Greenberg
• Greenbrook TMS Roanoke
• Rachael Greene, PTA
• Ryan T. Greene, LPC
• Elizabeth Greenebaum
• Jennifer Elaine Greer, CRNA
• Jereme Greer
• Susan W Greer, MS//PT
• William J Greer, MD
• Tennille Morales Grega, ATC

• School Psychologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• School Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.