Adriane McFord Green

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906951 Issued in FL

Practice address

218 Daffodil Circle
Tallahassee, FL 32305

Phone

(850) 322-9900

NPI assigned

Aug 23, 2018

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

Practice roles

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

• Eternally Rich LLC

  • Assisted Living Facility
  • Tallahassee, FL
  • NPI 1538630819

  Adult Care Home

  NPD Authorized official
• Eternally Rich LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tallahassee, FL
  • NPI 1093554826
  NPD

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1679054134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DAFFODIL CIRCLE TALLAHASSEE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32305",
            "telephone_number": "850-322-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DAFFODIL CIRCLE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32305",
            "telephone_number": "850-322-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ADRIANE",
        "middle_name": "MCFORD",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Lillian-Smith Gray, M.D.
• Lori Savage Grayson, MMSC, CCC-SLP
• Frank Edward Gredler, M.D.
• Kathleen Gredler
• Denna Gwen Green-Corbett
• Alia Deyira Green, MD
• Brandi Green, APRN, FNP-C
• Candace Green
• Charlotte Green
• Cornelius Markeith Green

• Adult Care Home Facility in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.