Casonya T Green, CDE

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

14328 Issued in GA

Practice address

311 W 43Rd St
New York, NY 10036

Phone

(404) 590-7533

NPI assigned

Aug 6, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1356996367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 43RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366413",
            "telephone_number": "404-590-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 43RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10036",
            "telephone_number": "404-590-7533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Bartram St SE Unit A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303166808",
            "country_code": "US",
            "telephone_number": "912-271-0971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CASONYA",
        "middle_name": "T",
        "credential": "CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "GA",
            "license": "14328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Green, LCSW
• Bethany Weston Green
• Brad Green, MD
• Bryan M Green
• Caprees Green
• Chelsie Green
• Chianne Green
• Christopher Richard Green, MD
• Cori Green, MD
• Cynthia Rachel Green, LCSW

• Health Educator in New York, NY
• Providers in New York, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.