Active NPI
Katlyn Green
- Student in an Organized Health Care Education/Training Program
- Greeneville, TN
National Provider Identifier
1669209177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 904 Martingale Dr
Greeneville, TN 37743-6132 - Phone
- (931) 397-3140
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TN | Primary |
Addresses
Primary practice location
904 Martingale Dr
Greeneville, TN 37743-6132
Mailing address
501 N Cherokee St Ste 2
Jonesborough, TN 37659-5599
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1669209177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N CHEROKEE ST STE 2",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376595599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 MARTINGALE DR",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377436132",
"telephone_number": "931-397-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "KATLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeneville, TN
- Sarah Gordon, LPN
- Heather Colleen Gow, PSY.D.
- Paul L Gow Jr., BS
- Lindsey R Gray, MSN
- Greater Regional Eye Group
- Greene County Drug Store LLC
- Greene County Employee Clinic
- Greene County Greeneville Emergency Medical Services
- Greene County Greeneville Emergency Medical Services
- Greene County Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.