Gwendolyn F Green, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

1032591 Issued in TX

Practice address

21717 Inverness Forest Blvd Apt 515
Houston, TX 77073-1347

Phone

(832) 496-5478

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1083328363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21717 INVERNESS FOREST BLVD APT 515",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731347",
            "telephone_number": "832-496-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21717 INVERNESS FOREST BLVD APT 515",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731347",
            "telephone_number": "832-496-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GWENDOLYN",
        "middle_name": "F",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1032591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward A Green, LCSW
• Emerald T Green, LMSW
• Erika Renee Green, APRN FNP
• Grace Lena Diletta Green, MD
• Gregory Green, D.C.
• Harry Green
• Heather Green, LCSW
• Hilda Green, RDLD
• Jackson Green
• Jamika Dangerfield Green

• Licensed Vocational Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.