MRS. SHANNON MARIE GREAKER APRN-CNP NPI 1053757971

NPI Information

NPI: 1053757971
Provider Name: MRS. SHANNON MARIE GREAKER, APRN-CNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: OSU SURGERY, LLC

PECOS Registration: Yes

Address:
2050 KENNY RD STE 2500
COLUMBUS, OH
ZIP 43221
Phone: (614) 366-6675
Get Directions

MRS. Shannon Marie Greaker, APRN-CNP is a primary care nurse practitioner in Columbus, OH with 11 years of experience. MRS. Shannon Marie Greaker, APRN-CNP NPI is 1053757971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2050 KENNY RD STE 2500
COLUMBUS, OH
ZIP 43221-502
Phone: (614) 366-6675
Fax: (614) 366-8166

The NPI 1053757971 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2013 and was last updated on 4/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	APRN.CNP.14768	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0099664	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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