Raquel N Green, NP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

543974 Issued in CA

Practice address

45335 Sierra Hwy
Lancaster, CA 93534-1611

Phone

(661) 949-8599

NPI assigned

Oct 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1164518056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45335 SIERRA HWY",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935341611",
            "telephone_number": "661-949-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45335 SIERRA HWY",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935341611",
            "telephone_number": "661-949-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Marengo St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331317",
            "country_code": "US",
            "telephone_number": "323-223-4462 x3229",
            "fax_number": "323-225-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RAQUEL",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN543974",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "543974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "543974",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Lynn Grayson
• Letha Grayson, PSY.D , LADAC
• Denise Green
• Jewellius Orryon Green
• Lajuan Green, LVN
• Shereen Green
• Eileen Greenberg
• Michael Greene
• Stephen R Greene, M.D.
• Lessie Greer-Casey

• General Practice Registered Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.