Active NPI
Nyla Green
- Nurse's Aide
- Alexandria, VA
National Provider Identifier
1467086710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 1401186004
- Practice address
- 4875 Eisenhower Ave
Alexandria, VA 22304-4886 - Phone
- (571) 445-9001
- NPI assigned
- Feb 26, 2020
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 1401186004 | VA | Primary |
Addresses
Primary practice location
4875 Eisenhower Ave
Alexandria, VA 22304-4886
Mailing address
6313 Cardinal Hill PL
Springfield, VA 22152-2233
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 |
|---|---|---|---|
| 1401186004 | VA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1467086710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6313 CARDINAL HILL PL",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221522233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4875 EISENHOWER AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223044886",
"telephone_number": "571-445-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "NYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "VA",
"license": "1401186004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.