Janis Kay Green, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R047186 Issued in ME

Practice address

Gulf Coast Outpatient Clinic, Naval Support Activity PC
101 Vernon Ave Ste 387
Panama City Beach, FL 32407-7018

Phone

(850) 630-7000

NPI assigned

Jun 19, 2006

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306881636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GULF COAST OUTPATIENT CLINIC, NAVAL SUPPORT ACTIVITY PC",
            "address_2": "101 VERNON AVE STE 387",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324077018",
            "telephone_number": "850-630-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GULF COAST OUTPATIENT CLINIC, NAVAL SUPPORT ACTIVITY PC",
            "address_2": "101 VERNON AVE STE 387",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324077018",
            "telephone_number": "850-630-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JANIS",
        "middle_name": "KAY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R047186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory W Goodreau, DMD
• Britney Gore, APRN
• Kimberly Mills Gore
• Nancy Diane Granese, RN
• Great Florida Smiles & Orthodontics PBC, PLLC
• Arthur Greenberg
• Coralee Greer
• Jeffrey Tyler Gregory, DC
• Amanda Marie Gresham, IBCLC
• Keely Marie Grice

• Family Nurse Practitioner in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Family Nurse Practitioner in Florida

• 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.