Geoffrey Sheldon Green, R.N.

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

17869 Issued in WY

Practice address

5308 Eastview St
Cheyenne, WY 82001-2260

Phone

(307) 287-4951

Fax

(307) 778-4386

NPI assigned

Aug 19, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1104225820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 EASTVIEW ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012260",
            "telephone_number": "307-287-4951",
            "fax_number": "307-778-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 EASTVIEW ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012260",
            "telephone_number": "307-287-4951",
            "fax_number": "307-778-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GEOFFREY",
        "middle_name": "SHELDON",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WY",
            "license": "17869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING STATE BOARD OF NURSING",
            "identifier": "17869",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linden Gray, MSN, FNP-C
• Danial Jonathan Greathouse, FNP
• Rebecca Greathouse
• Melissa Green-Heck, RN
• Erin R Green, WY PCSW-1064
• Greene Chiropractic Clinic PC
• Greene Chiropractic PC
• Stuart H Greene, D.C.
• Jordan Hugart Greer II, DO
• Ashley Lauren Gregorio

• Critical Care Medicine Registered Nurse in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Critical Care Medicine Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.