Active NPI
Quaniece Shawntae Green
- Occupational Therapist
- Clinton, MD
National Provider Identifier
1629550355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08508
- Practice address
- 9211 Stuart LN
Clinton, MD 20735-2712 - Phone
- (301) 868-3600
- NPI assigned
- Aug 29, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 08508 | MD | Primary |
Addresses
Primary practice location
9211 Stuart LN
Clinton, MD 20735-2712
Mailing address
95 Clay St
Annapolis, MD 21401-2451
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 |
|---|---|---|---|
| 08508 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1629550355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 CLAY ST",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9211 STUART LN",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352712",
"telephone_number": "301-868-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "QUANIECE",
"middle_name": "SHAWNTAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
- Oveta Lashay Grahambaker, PT
- Miranda Somjit Grant, LICSW, LCSW-C
- Greater Metropolitan Orthopaedics
- Greater Metropolitan Orthopaedics
- Greater Metropolitan Orthopaedics
- Greenstein & Associates Dental LLC
- Mark David Greenstein, D.M.D.
- Jesse Lee Griffin, PHD, LCPC, NCC
- Renny Griffith, M.D.
- Patricia Grimes, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.