Green Health Collective, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GREEN HEALTH COLLECTIVE, LLC

Practice address

270 Amity Rd Ste 132
Woodbridge, CT 06525-2236

Phone

(203) 318-6143

Fax

(475) 271-8574

NPI assigned

Apr 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christa Mann, APRNNPI 1699145789

Title

Owner/Operator

Phone

(607) 426-5939

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHHFDD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christa M Mann, APRN, FNP-C

  • Family Nurse Practitioner
  • Woodbridge, CT
  • NPI 1699145789
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1255184206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 AMITY RD STE 132",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252236",
            "telephone_number": "203-318-6143",
            "fax_number": "475-271-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 AMITY RD STE 132",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252236",
            "telephone_number": "203-318-6143",
            "fax_number": "475-271-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HEALTH COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "607-426-5939",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008063350",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Antonia Gomes, MS, OTR/L
• Drea Gordon, LMFT
• Gottlieb-Cohen Psychotherapy LLC
• Linda Haas Gottlieb, SLP
• Jennifer Graham, M.S., CCC, SLP
• Margaret S Greene, DDS
• Becket L Greten-Harrison, PA-C
• Stacey Grodd, MSW,LCSW
• Lori Gustinis, BCBA
• Leslie Jean Hain, MD

• Family Nurse Practitioner in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.