Individual provider Active NPI

Carolyn Sue Green, APRN FNP-BC

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1023449402
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN76239NP Issued in WV
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

Updated by the provider on May 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224000877 WV Practitioner - Nurse Practitioner 5597995340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN76239NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Health Right Inc. CurrentSince Jan 1, 2014 Accepting new patients
West Virginia Health Right, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Women'S Health Center of WV, Inc PastSince Aug 17, 2015 Accepting new patients

Locations

1520 Washington St E
Charleston, WV 25311
Phone (304) 343-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12396/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.