Katheryn L Green LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

630050 Issued in TX

Legal business name

KATHERYN L GREEN LLC

Practice address

533 Pecos St
Chandler, TX 75758-9444

Phone

(903) 521-9234

Fax

(903) 849-2818

NPI assigned

Mar 1, 2010

Last updated

Jun 29, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Katheryn Lea Green, RN, FNP-CNPI 1891734489

Title

Member/Manager

Phone

(903) 521-9234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katheryn Green, NP

  • Family Nurse Practitioner
  • Chandler, TX
  • NPI 1891734489
  Authorized official Same address or phone

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1659694909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "CHANDLER",
            "state": "TX",
            "postal_code": "757580929",
            "telephone_number": "903-521-9234",
            "fax_number": "903-849-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PECOS ST",
            "city": "CHANDLER",
            "state": "TX",
            "postal_code": "757589444",
            "telephone_number": "903-521-9234",
            "fax_number": "903-849-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERYN L GREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KATHERYN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "903-521-9234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "630050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Garre III, M.D.
• Katheryn Green, NP
• Jeremy Ray Gregory, LAT
• Sami Malae Harris, NP
• Janessa Johnson, LPC
• Richard William Limehouse Jr.
• Veronica Martin, REGISTERED NURSE
• Will Perry Mayfield, DDS
• Kaitlyn Elisabeth McGhee, RN
• Laura Jill McGill, RPH

• Family Nurse Practitioner in Chandler, TX
• Providers in Chandler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.