Deborah Green, CNM

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041-162592 Issued in IL

Practice address

245 S Gary Ave
Lower Level
Bloomingdale, IL 60108-2228

Phone

(630) 893-5230

Fax

(630) 893-5837

NPI assigned

May 13, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Des Plaines, IL
  • NPI 1982783692
  NPD
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1407807548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE",
            "address_2": "LOWER LEVEL",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082228",
            "telephone_number": "630-893-5230",
            "fax_number": "630-893-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE",
            "address_2": "LOWER LEVEL",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082228",
            "telephone_number": "630-893-5230",
            "fax_number": "630-893-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DEBORAH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-162592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "041-162592",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "209-004691",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Caruso M.D.P.C
• Michael S Goetter, LCPC
• Gisela M Gonzalez, M.D.
• Tatiana Granados, LSW, LCSW
• Green Harmony Group Inc.
• Greg E Sharon MD SC
• Jessica Grudsky, R.D., L.D.N.
• Matthew J Gryzlo, DDS
• Lisa Marie Grzelak, PHARMD
• Ryan Lee Guilfoil, PA-C

• Registered Nurse in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.