Active NPI
Lois Gail Fetner-Greenberg
- Contractor
- Boca Raton, FL
National Provider Identifier
1992861579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- OT9516
- Practice address
- 20950 Via Jasmine
Unit # 3
Boca Raton, FL 33428-1324 - Phone
- (561) 488-4722
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OT9516 | FL | Primary |
Addresses
Primary practice location
20950 Via Jasmine
Unit # 3
Boca Raton, FL 33428-1324
Mailing address
20950 Via Jasmine
Unit # 3
Boca Raton, FL 33428-1324
Phone (561) 488-4722
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992861579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20950 VIA JASMINE",
"address_2": "UNIT # 3",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281324",
"telephone_number": "561-488-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20950 VIA JASMINE",
"address_2": "UNIT # 3",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281324",
"telephone_number": "561-488-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETNER-GREENBERG",
"first_name": "LOIS",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "OT9516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.