Active NPI
Tyesha N Green, RN
- Ambulatory Women's Health Care Registered Nurse
- Baltimore, MD
National Provider Identifier
1184774176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- R169797
- Practice address
- 3902 Annapolis Rd
Baltimore, MD 21227-2210 - Phone
- (410) 887-1003
- NPI assigned
- Jan 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | R169797 | MD | Primary |
Addresses
Primary practice location
3902 Annapolis Rd
Baltimore, MD 21227-2210
Mailing address
35 Straw Hat Rd
Apt 2a
Owings Mills, MD 21117-2827
Phone (443) 939-6329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R169797 | MD | MD | Ambulatory Women's Health Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184774176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 STRAW HAT RD",
"address_2": "APT 2A",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211172827",
"telephone_number": "443-939-6329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 ANNAPOLIS RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212272210",
"telephone_number": "410-887-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "TYESHA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "MD",
"license": "R169797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.