Cristy Green, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L041937 Issued in AR

Practice address

407 Carson St
Hot Springs, AR 71901-6852

Phone

(501) 620-5525

Fax

(501) 321-9828

NPI assigned

May 22, 2024

Sex

Female

Sole proprietor

Yes

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": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1659110377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CARSON ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016852",
            "telephone_number": "501-620-5525",
            "fax_number": "501-321-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CARSON ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016852",
            "telephone_number": "501-620-5525",
            "fax_number": "501-321-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CRISTY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L041937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamekia Gray
• Susan Gray
• Kacy Lynn Grayer, MHPP
• Amy Leigh Green, OTRL
• Burdge F Green IV, MD
• Debbra Green, AT
• Gary D Green
• Randel Wade Green
• Iris Michelle Greeson, APRN
• James Greet

• Licensed Practical Nurse in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.