Active NPI
Carolyn Sue Green, APRN FNP-BC
- Family Nurse Practitioner
- Charleston, WV
National Provider Identifier
1023449402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN76239NP
- Practice address
- 510 Washington St W
Charleston, WV 25302-2036 - Phone
- (304) 344-9834
- Fax
- (304) 344-1756
- NPI assigned
- Dec 10, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN76239NP | WV | Primary |
Addresses
Primary practice location
510 Washington St W
Charleston, WV 25302-2036
Mailing address
PO Box 20580
Charleston, WV 25362-1580
Phone (304) 344-9834
Other names 1
- Ms. Carolyn Martin Riggs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN76239NP | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia Health Right Inc. | Current | Accepting new patients | |
| West Virginia Health Right, Inc. | Current | Accepting new patients | |
| Women'S Health Center of WV, Inc | Past | Accepting new patients |
Locations
1520 Washington St E
Charleston, WV 25311
Phone (304) 343-7000
Interoperability endpoints
- https://api.platform.athenahealth.com/12396/brand/1/csg/1/fhir/r4
- carolyn.riggs.1@26000.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Charleston, WV
- NPI 1124453964
-
- Clinic Pharmacy
- Charleston, WV
- NPI 1780846188
-
- Case Management Agency
- Charleston, WV
- NPI 1659544013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1023449402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20580",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253621580",
"telephone_number": "304-344-9834",
"fax_number": "304-344-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 WASHINGTON ST W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253022036",
"telephone_number": "304-344-9834",
"fax_number": "304-344-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "CAROLYN",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "APRN FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-10",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN76239NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "RIGGS",
"middle_name": "MARTIN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.