Green Wellness NP in Family Health PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GREEN WELLNESS NP IN FAMILY HEALTH PLLC

Practice address

14 Lafayette SQ Ste 2300
Buffalo, NY 14203-1923

Phone

(267) 275-5928

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Jade Rickia Green, CRNP

Title

Ceo

Phone

(267) 275-5928

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1023718533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WISTAR DR",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952313",
            "telephone_number": "267-275-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LAFAYETTE SQ STE 2300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031923",
            "telephone_number": "267-275-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN WELLNESS NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "RICKIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-275-5928",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Buffalo United Association Inc
• Greater Buffalo United Ipa
• Rasheed Robert James Greaves, M.D
• Nina Isabella Greco
• Green Pastures Still Waters, LLC
• Abigail Green, MD
• Arry L Green, MA
• Ashlea Nicole Green, CPT
• Courtney O Green, LPN
• Dawn J Green, PA

• Family Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.