Laura Louise Green, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95261263 Issued in CA

Practice address

43 Palomar Dr
Chula Vista, CA 91911-1413

Phone

(619) 850-4808

NPI assigned

Feb 3, 2023

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

Other names 1

• Laura Louise Blosser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1679279368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PALOMAR DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111413",
            "telephone_number": "619-850-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PALOMAR DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111413",
            "telephone_number": "619-850-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LAURA",
        "middle_name": "LOUISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95261263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BLOSSER",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Jean Gray, OTR/L
• Jordan Elizabeth Gray, OTR/L
• Maria K Gray, MD
• Wendy Grays, RN
• Kyle Marcus Green, MD
• Edward William Greene
• Komoa Greene
• Mayra Greene
• Gregory J Wiener M D Professional Corporation
• Gregory Wiener MD PC

• Registered Nurse in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.