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GREENE ROOTS WELLNESS & TELEHEALTH PLLC
NPI 1356220651
Nurse Practitioner in Little Rock, AR

Active since August 29, 2025CLIA 04D2331451 · Waiver
60 WOODLORE CIR, LITTLE ROCK, AR 72211(501) 563-8535 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greene Roots Wellness & Telehealth Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENE ROOTS WELLNESS & TELEHEALTH PLLC (NPI 1356220651) is a healthcare organization registered as a nurse practitioner in Little Rock, Arkansas and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Corey Lee Greene, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1356220651
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGREENE ROOTS WELLNESS & TELEHEALTH PLLC
Location Address60 WOODLORE CIRLittle Rock, AR 72211-2354
Mailing Address60 Woodlore CirLittle Rock, AR 72211-2354 · (501) 747-7608 · Fax (888) 496-4627
Phone(501) 563-8535
Organization SubpartNo
Authorized OfficialCorey Lee GreeneNurse Practitioner · (501) 563-8535
Enumeration DateAugust 29, 2025
Last NPPES UpdateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1356220651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
60 WOODLORE CIR, Little Rock, AR 72211
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2331451

Greene Roots Wellness & Telehealth PLLC · Little Rock, AR
Active · expires Oct 1, 2027
CLIA Number04D2331451
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorCorey L. Greene
Laboratory Phone(501) 747-7608
Laboratory LocationGreene Roots Wellness & Telehealth PLLC60 Woodlore Circle, Little Rock, AR 72211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL GERARD HAZLEWOOD PH.D.
Clinical Neuropsychologist
60 WOODLORE CIR
LITTLE ROCK, AR 72211
Pulaski County (501) 224-9876

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greene Roots Wellness & Telehealth PLLC's NPI number?

The NPI number for Greene Roots Wellness & Telehealth PLLC is 1356220651. It was assigned to this organization in the NPPES registry on August 29, 2025.

Where is Greene Roots Wellness & Telehealth PLLC located?

Greene Roots Wellness & Telehealth PLLC is located at 60 Woodlore Cir, Little Rock, AR 72211. The listed phone number is (501) 563-8535.

What is Greene Roots Wellness & Telehealth PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Greene Roots Wellness & Telehealth PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2331451) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greene Roots Wellness & Telehealth PLLC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.