Deborah Green, RN

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M614 Issued in AK

Practice address

16401 Black Bear Cir
Anchorage, AK 99516-6951

Phone

(907) 229-7728

Fax

(907) 644-2858

NPI assigned

Feb 9, 2007

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

Other identifiers 2

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114068483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 BLACK BEAR CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995166951",
            "telephone_number": "907-229-7728",
            "fax_number": "907-644-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 BLACK BEAR CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995166951",
            "telephone_number": "907-229-7728",
            "fax_number": "907-644-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "M614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM2908",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG290",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Renee Green, PHARM.D.
• Bailey Philadelphia Green, PA-C
• Bobbi D Green
• Brian D. Green, LPC
• Clark William Green
• Eve Elaine Green, LMT
• Je'Dette Angelique Green, ANP-C
• Jyll K Green, ANP
• Kameisa J Green
• Katherine Ellen Green, MSW

• Social Worker in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.