Active NPI
Susan M Green, RN
- Registered Nurse
- Rochester, NY
National Provider Identifier
1063062883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 540059-1
- Practice address
- 155 Densmore Rd
Rochester, NY 14609-1850 - Phone
- (585) 339-1404
- NPI assigned
- Sep 13, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 540059-1 | NY | Primary |
Addresses
Primary practice location
155 Densmore Rd
Rochester, NY 14609-1850
Mailing address
155 Densmore Rd
Rochester, NY 14609-1850
Phone (585) 339-1404
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susan_green@eastiron.monroe.edu | ||
| CONNECT URL | susan_green@eastiron.monroe.edu |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 540059-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1063062883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 DENSMORE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146091850",
"telephone_number": "585-339-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 DENSMORE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146091850",
"telephone_number": "585-339-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "540059-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "susan_green@eastiron.monroe.edu",
"affiliation": "N",
"address_1": "155 Densmore Rd",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146091850",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "susan_green@eastiron.monroe.edu",
"affiliation": "N",
"address_1": "155 Densmore Rd",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146091850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.