Individual provider Active NPI

Sidney M Green, C.N.A.

  • Nurse's Aide
  • Milwaukee, WI
National Provider Identifier
1336017458
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
WI032111001346 Issued in WI
Practice address
2323 N Commerce St Unit 118
Milwaukee, WI 53212-3414
Phone
(414) 243-9880
NPI assigned
Oct 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X WI032111001346 WI Primary

Addresses

Primary practice location

2323 N Commerce St Unit 118
Milwaukee, WI 53212-3414

Mailing address

2323 N Commerce St Unit 118
Milwaukee, WI 53212-3414
Phone (414) 243-9880

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

State licenses

LicenseStateTypeSpecialty
WI032111001346WIMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1336017458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N COMMERCE ST UNIT 118",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123414",
            "telephone_number": "414-243-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N COMMERCE ST UNIT 118",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123414",
            "telephone_number": "414-243-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SIDNEY",
        "middle_name": "M",
        "credential": "C.N.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "WI",
            "license": "WI032111001346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.