Tafia Cora Green

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11012619 Issued in FL

Practice address

4800 NW 20TH CT
Lauderhill, FL 33313-4145

Phone

(954) 732-7761

NPI assigned

Jun 10, 2022

Last updated

Jun 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tafia.green.1@29290.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pophealthcare, LLC

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  • NPI 1164943957

  Single Specialty

  Medicare reassignment NPD
• Harmonycares Complete Health Services, PLLC

  dba HarmonyCares Health Services

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1093543902

  FL, Single Specialty

  Medicare reassignment NPD
• Pophealthcare, LLC

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1326617150
  NPD
• Rmed LLC

  dba HarmonyCares Medical Group

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1508815358

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1316676620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 NW 24TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333133527",
            "telephone_number": "954-732-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NW 20TH CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333134145",
            "telephone_number": "954-732-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TAFIA",
        "middle_name": "CORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Eve Grayson, LMHC
• Fred Grayson, DC
• Great Dental Care
• Green Health CBD, LLC
• Fallon Latrice Green
• Stephanie Greer, ATC
• Omar S Griffiths
• Fanshawe Grissette
• GTG Care Ft Lauderdale LLC
• Stan Howard Guberman, DC

• Family Nurse Practitioner in Lauderhill, FL
• Providers in Lauderhill, 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 Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.