ROBERT KIRTIS GREENLEE (NPI# 1710401575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710401575 |
| Entity Type | Individual |
| Full Name | ROBERT KIRTIS GREENLEE |
| Credential | FNP |
| Practice Address |
332 Highway 12 W Kosciusko MS 39090-3209 |
| Practice Telephone | 6622891800 |
| Practice Fax Number | 6622891858 |
| Mailing Telephone | 6622891800 |
| Mailing Fax Number | 6622891858 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902062 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205952389 | Robert Macmartin Greenlee | Obstetrics & Gynecology | 45 Wells St, Suite 104, Westerly, RI 02891 | 2007-03-21 |
| 1134142979 | Robert R Greenlee | Emergency Medicine | 8th Avenue C St, Salt Lake City, UT 84143-0001 | 2006-07-25 |
| Street Address |
332 HIGHWAY 12 W |
| City | KOSCIUSKO |
| State | MS |
| Zip Code | 39090-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902868961 | Benjamin Thomas Carter | Emergency Medicine | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2006-04-05 |
| 1427656230 | Kimberly Michele Myer | Family Medicine | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2020-10-14 |
| 1922458348 | Hannah Tingle | Occupational Therapist | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2016-06-16 |
| 1649653775 | Hannah Cooper | Nurse Practitioner | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2015-07-07 |
| 1083994701 | Wanda Grace Mccullough | Social Worker | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2011-08-25 |
| 1831486596 | John Gray Wallace | Family Medicine | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2011-07-01 |
| 1942595202 | Samuel Joseph Holdiness | Internal Medicine | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2011-06-15 |
| 1609178094 | Krista Bain Blaylock | Nurse Practitioner | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2010-11-17 |
| 1144534900 | Newsouth Neurospine, LLC. | Anesthesiology | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2010-08-03 |
| 1700016763 | Sridevi Alla | Family Medicine | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2009-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371675 | Caroline Boydstun Fair | Pharmacist | 109 Northside Center, Kosciusko, MS 39090 | 2017-12-11 |
| 1275069643 | Sharhonda Wingo | Speech-Language Pathologist | 2447 Attala Road 2203, Kosciusko, MS 39090 | 2017-05-04 |
| 1013392034 | Leap of Faith LLC | Respite Care | 115 North Wells Street, Suite A, Kosciusko, MS 39090 | 2015-07-21 |
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1528402484 | Warner Martin Myers I | Student in an Organized Health Care Education/Training Program | 912 Hwy 12 East, Kosciusko, MS 39090 | 2013-04-23 |
| 1891022547 | Medical Foundation of Central Mississippi | Internal Medicine | 329 Highway 12 West, Koscuisko, MS 39090 | 2009-11-17 |
| 1255512448 | Cheryl L Bayne | Adult Companion | 509 Hillview Dr, Kosciusko, MS 39090 | 2007-11-16 |
| 1760673982 | Gary A Cochran | Technician/Technologist | 118 West North St, Kosciusko, MS 39090 | 2007-08-05 |
| 1639396393 | Stephen C Hammack | Family Medicine | 332 Highway 12 West, Kosciusko, MS 39090 | 2007-04-20 |
| 1740329689 | Brenda Nail | Nurse Practitioner | 999 Martin Luther King Drive, Kosciusko, MS 39090 | 2007-02-06 |
| Find all providers in zip 39090 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551579 | Allison Langford | Nurse Practitioner | 50 Veterans Memorial Dr, Kosciusko, MS 39090-3424 | 2018-06-13 |
| 1558802413 | Mary Fox | Nurse Practitioner | 2803 Attala Road 2207, Kosciusko, MS 39090-3163 | 2017-03-13 |
| 1396047098 | Joy W Reynolds | Nurse Practitioner | 3099 Attala Road 1213, Kosciusko, MS 39090-4466 | 2010-12-01 |
| 1740329689 | Brenda Nail | Nurse Practitioner | 999 Martin Luther King Drive, Kosciusko, MS 39090 | 2007-02-06 |
| 1063475440 | Mary Katherine Lawrence | Nurse Practitioner | 220 Highway 12 W, Kosciusko, MS 39090-3208 | 2006-04-07 |
| 1770184467 | Rebecca Little | Nurse Practitioner | 50 Veterans Memorial Dr, Kosciusko, MS 39090-3424 | 2020-11-08 |
| 1700426707 | Julia Johnson | Nurse Practitioner | 50 Veterans Memorial Dr, Kosciusko, MS 39090-3424 | 2020-01-08 |
| 1649653775 | Hannah Cooper | Nurse Practitioner | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2015-07-07 |
| 1477753929 | Linda B Cockroft | Nurse Practitioner | 530 Veterans Memorial Dr, Kosciusko, MS 39090-3858 | 2007-07-23 |
| 1598984395 | Neeli Kirkendall | Nurse Practitioner | 332 Highway 12 W, Kosciusko, MS 39090-3209 | 2007-04-24 |
| Find all providers in KOSCIUSKO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.