La'Doria Richelle Green

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN202655 Issued in GA

Practice address

7902 Cedar Turn
Fairburn, GA 30213-7929

Phone

(770) 629-5247

NPI assigned

Feb 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1104199652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 CEDAR TURN",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302137929",
            "telephone_number": "770-629-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 CEDAR TURN",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302137929",
            "telephone_number": "770-629-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LA'DORIA",
        "middle_name": "RICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-121056",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN202655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Path Senior Services, LLC
• Shaquanda Shantivus Gordon, PMHNP-BC
• Paul Everett Graham
• Jasmine Grant, LAPC
• Christen L Green
• Rona Renell Green, DPM
• Pavielle Gregory
• Latonia Latrice Grisby, RN
• Keesha Tamara Maria Hamilton-Fowler, NP
• Jessica Hardwick, MS, RDN, LD

• Registered Nurse in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.