Active NPI
Krista Marie Green
- Social Worker
- Astoria, NY
National Provider Identifier
1003496878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112137
- Practice address
- 3095 29TH St Apt 3F
Astoria, NY 11102-2729 - Phone
- (315) 867-7474
- NPI assigned
- Apr 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 112137 | NY | Primary |
Addresses
Primary practice location
3095 29TH St Apt 3F
Astoria, NY 11102-2729
Mailing address
3095 29TH St Apt 3F
Astoria, NY 11102-2729
Phone (315) 867-7474
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112137 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1003496878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3095 29TH ST APT 3F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022729",
"telephone_number": "315-867-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3095 29TH ST APT 3F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022729",
"telephone_number": "315-867-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "KRISTA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "112137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.