NPIMap

Organization Active NPI

Nancy Green Inc.

  • Exclusive Provider Organization
  • Salisbury, NC
National Provider Identifier
1073799003
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
175133 Issued in NC
Legal business name
NANCY GREEN INC.
Practice address
121 Rugby Rd
Salisbury, NC 28144-9489
Phone
(704) 633-9747
Fax
(704) 633-9608
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mrs. Nancy Desormeau Green, RN
Title
Director
Phone
(704) 633-9747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 175133 NC Primary

Addresses

Primary practice location

121 Rugby Rd
Salisbury, NC 28144-9489

Mailing address

P.O. Box 1762
Salisbury, NC 28144-9489
Phone (704) 633-9747

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1073799003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1762",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281449489",
            "telephone_number": "704-633-9747",
            "fax_number": "704-633-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RUGBY RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281449489",
            "telephone_number": "704-633-9747",
            "fax_number": "704-633-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY GREEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DESORMEAU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-633-9747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "175133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.