Lee Ann Green

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

200 N Choctaw Ave Ste 140
El Reno, OK 73036-2640

Phone

(405) 262-3209

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Red Rock

  • Community/Behavioral Health Agency
  • El Reno, OK
  • NPI 1053518878
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295859544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 YUKON AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993809",
            "telephone_number": "405-350-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CHOCTAW AVE STE 140",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362640",
            "telephone_number": "405-262-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LEE ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Dental El Reno, PLLC
• Candice Grandstaff
• Valorie Jean Graves, PA
• Jacoby Gray, PHARD
• Angela Green
• Kathy Ann Gunter, P.A.-C.
• Madison Jewel Haasl, M.ED, LPC-C
• Hac, Inc.
• Cameron Hall
• Cara Lee Hall, M.ED.

• All providers in El Reno, OK
• Case Manager/Care Coordinator in Oklahoma

• 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.

Verify at the official NPI Registry.