MR. LUKE GREENE PMHNP NPI 1134423056

NPI Information

  • NPI: 1134423056
  • Provider Name: MR. LUKE GREENE, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2428 W REYNOLDS AVE
    CENTRALIA, WA
    ZIP 98531
  • Phone: (360) 330-9044

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NPI Details

MR. Luke Greene, PMHNP is a psychiatric/mental health nurse practitioner in Centralia, WA with 14 years of experience. MR. Luke Greene, PMHNP NPI is 1134423056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2428 W REYNOLDS AVE
CENTRALIA, WA
ZIP 98531-554
Phone: (360) 330-9044
Fax: (360) 736-3139

The NPI 1134423056 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 1/6/2011 and was last updated on 12/8/2016.

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
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult716210CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health22194CALIFORNIAYes

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: 11/21/2025

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