Pamela McKee Green, RDN, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

190 Issued in AL

Practice address

4371 Narrow Lane Rd Ste 200
Montgomery, AL 36116-2975

Phone

(334) 747-7717

Fax

(334) 747-7728

NPI assigned

Oct 29, 2019

Sex

Female

Sole proprietor

No

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, last updated by the provider on Oct 29, 2019.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1164066635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 NARROW LANE RD STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162975",
            "telephone_number": "334-747-7717",
            "fax_number": "334-747-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NARROW LANE RD STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162975",
            "telephone_number": "334-747-7717",
            "fax_number": "334-747-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PAMELA",
        "middle_name": "MCKEE",
        "credential": "RDN, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Oaks Healthcare Management, LLC
• Greater Montgomery Patient Centered Gastroenterology and Hepatology
• Amanda Knightly Green
• Betty Green
• Eboni Da'Shaun Green, LPTA
• Perry G Green, DMD
• Mary A Greene-McIntyre, M.D., M.P.H, SSBB
• Anna O Greene, CRNP
• Hamp Hunter Greene III, M.D.
• Hannah Greenshields, PA

• All providers in Montgomery, AL
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.