Laura Kathryn Green

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5 Paul X Tivnan Dr
West Boylston, MA 01583-2126

Phone

(508) 854-1800

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• The Commonwealth of Massachusetts

  • Prison Health Clinic/Center
  • West Boylston, MA
  • NPI 1376411165
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1033802152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 POINT PLEASANT RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701530",
            "telephone_number": "508-943-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PAUL X TIVNAN DR",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015832126",
            "telephone_number": "508-854-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LAURA",
        "middle_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gauvin-Valenta, PT, DPT
• Melat Gebremedhin
• Laurie Ghiz, LMHC, LICAC
• Elizabeth Gibson, PSY.D.
• Brien Goodwin
• Sandra Lee Greenlaw, D.C.
• Tracey Lynn Guertin, PH.D., H.S.P.
• Casey M Gurlitz, M.S., CCC-SLP
• Bassem G Hanna, M.D.
• Dawn Marie Hartnett, LICSW

• Student in an Organized Health Care Education/Training Program in West Boylston, MA
• Providers in West Boylston, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.