Karen Shepherd Green

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

100826300 Issued in FL

Practice address

2946 N Martha Ave
Lakeland, FL 33805-2240

Phone

(863) 669-6540

NPI assigned

Nov 18, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1619513397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 N MARTHA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052240",
            "telephone_number": "863-669-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 N MARTHA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052240",
            "telephone_number": "863-669-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KAREN",
        "middle_name": "SHEPHERD",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "100826300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Harris Green, ATC, EMT
• Bethany R Green, MSW
• Bryce Allen Green, DO
• Chase Frederick Green, DO
• Dominique V Green
• Suprina Michelle Green
• Grace Elizabeth Greene, DO
• Graham Foley Greene, MD
• Janice Greene, OTR/L
• Kyosha Greene

• Home Health Aide in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.