Active NPI
Binnece Jill Green, MSN PNP-BC
- Pediatric Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1184881518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP009375
- Practice address
- 3400 Civic Center Blvd
9326 Chop/Main
Philadelphia, PA 19104-4306 - Phone
- (215) 590-3842
- Fax
- (215) 590-1415
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN216484L | PA | |
| Registered Nurse | 163W00000X | 26NR05351200 | NJ | |
| Pediatric Nurse Practitioner | 363LP0200X | SP009375 | PA | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 26NN05351200 | NJ |
Addresses
Primary practice location
3400 Civic Center Blvd
9326 Chop/Main
Philadelphia, PA 19104-4306
Mailing address
3400 Civic Center Blvd
9326 Chop/Main
Philadelphia, PA 19104
Phone (215) 590-3842
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR05351200 | NJ | MD | Registered Nurse |
| RN216484L | PA | MD | Registered Nurse |
| 26NN05351200 | NJ | MD | Pediatric Nurse Practitioner |
| SP009375 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Consultants of Burlington County, PA | Past | Accepting new patients |
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.
-
- Specialist
- Lumberton, NJ
- NPI 1679688972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1184881518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"address_2": "9326 CHOP/MAIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-3842",
"fax_number": "215-590-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"address_2": "9326 CHOP/MAIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044306",
"telephone_number": "215-590-3842",
"fax_number": "215-590-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "BINNECE",
"middle_name": "JILL",
"name_prefix": "Mrs.",
"credential": "MSN PNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN216484L",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR05351200",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP009375",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NN05351200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.