Sabrina Nicole Green-Barksdale, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703090664 Issued in MI

Practice address

14231 Auburn St
Detroit, MI 48223-2894

Phone

(313) 899-0092

NPI assigned

Aug 17, 2023

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

Other names 1

• Sabrina Nicole Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Angelical Hands Wound Care, LLC

  • Licensed Practical Nurse
  • Detroit, MI
  • NPI 1407609399
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1417730847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 AUBURN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232894",
            "telephone_number": "313-899-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 AUBURN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232894",
            "telephone_number": "313-899-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-BARKSDALE",
        "first_name": "SABRINA",
        "middle_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703090664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "GREEN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Eryn Greb, DO
• Green Cross Medical Center PC
• Green Cross Medical Center PC
• Green Heart Home Care Agency LLC
• Green Meadows Outreach Ministries
• Paula Sue Green-Smith, MA
• Alan F Green, M.D
• Ameenah Somer Green
• Angela Green
• Annamarie F Green, MSW

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.