Active NPI
Pamela M Green, MSN
- Ambulatory Women's Health Care Registered Nurse
- Chicago, IL
National Provider Identifier
1427725753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 041.274009
- Practice address
- 1660 North Lasalle Drive
2107
Chicago, IL 60614 - Phone
- (773) 330-6553
- NPI assigned
- Aug 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 041.274009 | IL | Primary |
Addresses
Primary practice location
1660 North Lasalle Drive
2107
Chicago, IL 60614
Mailing address
1660 North Lasalle Drive
2107
Chicago, IL 60614
Phone (773) 330-6553
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.274009 | IL | MD | Ambulatory Women's Health Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1427725753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 NORTH LASALLE DRIVE",
"address_2": "2107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-330-6553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 NORTH LASALLE DRIVE",
"address_2": "2107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-330-6553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "PAMELA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "IL",
"license": "041.274009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.