Te'Jah Green

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

3604 Gridley Rd Apt 2
Shaker Heights, OH 44122-5088

Phone

(614) 639-9375

NPI assigned

Feb 22, 2025

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

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1093511719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 GRIDLEY RD APT 2",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 GRIDLEY RD APT 2",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225088",
            "telephone_number": "614-639-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TE'JAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevon Granger
• Ashly Grant
• Justin Grant, BSW
• Kelly Grant, PT, ATC
• Javar Green, QMHS
• Judith Greenberger
• Judi Keene Greenspan
• Samantha E Gregory
• Jeanne Rachel Greminger, LSW
• Michelle Jinette Grimes

• Contractor in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.