Active NPI
Lashanna Green
- Family Nurse Practitioner
- Dillon, SC
National Provider Identifier
1184181570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26975
- Practice address
- 1010 Pleasant Grove CT
Dillon, SC 29536-7791 - Phone
- (843) 453-2696
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 228552 | SC | |
| Family Nurse Practitioner | 363LF0000X | 26975 | SC | Primary |
Addresses
Primary practice location
1010 Pleasant Grove CT
Dillon, SC 29536-7791
Mailing address
1010 Pleasant Grove CT
Dillon, SC 29536-7791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
182 C Sea Island Pkwy
Beaufort, SC 29907-1503
Phone (843) 322-1933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228552 | SC | MD | Neonatal Intensive Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowcountry Urgent Care LLC | Current | Accepting new patients |
Locations
182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933
1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Beaufort, SC
- NPI 1326364100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1184181570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 PLEASANT GROVE CT",
"city": "DILLON",
"state": "SC",
"postal_code": "295367791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PLEASANT GROVE CT",
"city": "DILLON",
"state": "SC",
"postal_code": "295367791",
"telephone_number": "843-453-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "LASHANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "SC",
"license": "228552",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "26975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dillon, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.