Evelyn Green, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-124721 Issued in AL

Practice address

101 Sivley Rd SW
Huntsville, AL 35801-4421

Phone

(256) 265-9273

Fax

(256) 265-8921

NPI assigned

Jul 15, 2021

Last updated

Jan 14, 2024By the provider in NPPES

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

Enrolled in TN, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central North Alabama Health Services, Inc.Group PAC ID 2668454802, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: evelyn.green.1@12822.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central North Alabama Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntsville, AL
  • NPI 1407891336
  Medicare reassignment Care Compare group NPD
• Parkway Medical Group, PC

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1285748962
  Medicare reassignment NPD
• Central North Alabama Health Services, Inc.

  • Chiropractor
  • Huntsville, AL
  • NPI 1487254520
  NPD

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1659943900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 LITTLE COVE RD",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638602",
            "telephone_number": "256-658-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-9273",
            "fax_number": "256-265-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "EVELYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-124721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina R Green, CRNP
• Christopher Jason Green, MD
• David Edward Green, M.D.
• Edward Rodman Green, MD
• Elizabeth Wallenborn Green, MA CCCLA
• Frances Charlene Green, NP
• Jacqueline Lynn Green, MD
• Jacqueline Priscilla Green, CRNP
• Lisa H Green, NP
• Lorrie Green, DMD

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.