Active NPI
Eulalie L Green
- Neonatal Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1457807943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 1-079530
- Practice address
- 3690 Grandview Pkwy
Birmingham, AL 35243-3326 - Phone
- (205) 971-5685
- Fax
- (205) 624-3115
- NPI assigned
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 1-079530 | AL | Primary |
Addresses
Primary practice location
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Mailing address
PO Box 2489
Alabaster, AL 35007-2029
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-079530 | AL | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1457807943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2489",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350072029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 GRANDVIEW PKWY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352433326",
"telephone_number": "205-971-5685",
"fax_number": "205-624-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "EULALIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AL",
"license": "1-079530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.