Active NPI
Autumn Green
- Registered Nurse
- Rockville, MD
National Provider Identifier
1033912621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28282982C
- Practice address
- 5720 Fishers LN
Rockville, MD 20852-6737 - Phone
- (708) 465-8164
- NPI assigned
- Mar 29, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28282982C | IN | Primary |
Addresses
Primary practice location
5720 Fishers LN
Rockville, MD 20852-6737
Mailing address
5720 Fishers LN
Rockville, MD 20852-6737
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 |
|---|---|---|---|
| 28282982C | IN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743206400000",
"number": "1033912621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 FISHERS LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208526737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 FISHERS LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208526737",
"telephone_number": "708-465-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "AUTUMN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-03-29",
"last_updated": "2025-03-29",
"certification_date": "2025-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28282982C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.