Patrice Green, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9398232 Issued in FL

Practice address

6839 Rapid River Dr
Jacksonville, FL 32219-5145

Phone

(904) 294-0759

NPI assigned

Mar 27, 2023

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1710680715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6839 RAPID RIVER DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322195145",
            "telephone_number": "904-294-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 RAPID RIVER DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322195145",
            "telephone_number": "904-294-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PATRICE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9398232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oanh Yvonne Green, CRNA
• Oliver H Green III
• Otis Green
• Otis Howard Green III, ARNP
• Pamela Kellam Green
• Quetaica Green, FNP
• Rachel Green, NP
• Sanshea Green
• Shanteyl Kiera Green
• Susan Green, SLP

• Home Health Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.