NPIMap

Organization Active NPI

Green,Karlita

  • Prosthetic/Orthotic Supplier
  • Fayetteville, NC
National Provider Identifier
1154777522
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
88486 Issued in NC
Legal business name
GREEN,KARLITA
Practice address
1928 Abbeydale LN
Fayetteville, NC 28301-6600
Phone
(910) 920-7506
Fax
(910) 676-8576
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Karlita GreenNPI 1265887350
Title
Owner
Phone
(910) 920-7506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 88486 NC Primary

Addresses

Primary practice location

1928 Abbeydale LN
Fayetteville, NC 28301-6600

Mailing address

1928 Abbeydale LN
Fayetteville, NC 28301-6600
Phone (910) 920-7506

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1154777522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ABBEYDALE LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016600",
            "telephone_number": "910-920-7506",
            "fax_number": "910-676-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ABBEYDALE LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283016600",
            "telephone_number": "910-920-7506",
            "fax_number": "910-676-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN,KARLITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KARLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-920-7506"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "88486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.