Brittney Keanna Green, HEAVEN SENT HOME

Primary specialty

HomemakerTaxonomy code 376J00000X

License

235720

Practice address

3037 Post St
Jacksonville, FL 32205-6031

Phone

(904) 413-2073

NPI assigned

Jan 27, 2020

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

Other names 1

• Mrs. Brittney Keanna Green Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1780215913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 GIBSON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 POST ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056031",
            "telephone_number": "904-413-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRITTNEY",
        "middle_name": "KEANNA",
        "name_prefix": "Mrs.",
        "credential": "HEAVEN SENT HOME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": "235720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "GREEN",
            "middle_name": "KEANNA",
            "prefix": "MRS.",
            "credential": "HEAVEN SENT HOME",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrew David Green, ARNP
• Anthony Darius Green, PTA
• Ashley Green
• Barbara R. Green
• Blake Green
• Chantall-Imani Britany Green
• Christopher Green, LAT ATC
• Deangelo Green
• Diane Beven Green, OTR/L
• Dwayne Green

• Homemaker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.