Active NPI
Shari P Green, RNCS, MA CAGS
- Clinical Nurse Specialist
- Worcester, MA
National Provider Identifier
1780726059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- PPNS00104
- Practice address
- 630 Plantation St
Worcester, MA 01605-2038 - Phone
- (508) 856-0732
- Fax
- (508) 853-7149
- NPI assigned
- Feb 13, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | RNCS229207 | MA | |
| Clinical Nurse Specialist | 364S00000X | PPNS00104 | RI | Primary |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | PPNS00104 | RI |
Addresses
Primary practice location
630 Plantation St
Worcester, MA 01605-2038
Mailing address
630 Plantation St
Wot 12TH FL
Worcester, MA 01605-2038
Phone (508) 368-5532
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999 | Other | MA | LMHC |
| PPNS00104 | Other | RI | CNS |
| 229207 | Other | MA | RN LICENSE |
| RN50561 | Other | RI | NURSING LICENSE |
Other names 1
- Shari Pizer
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNCS229207 | MA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1780726059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"address_2": "WOT 12TH FL",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-368-5532",
"fax_number": "508-853-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-856-0732",
"fax_number": "508-853-7149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SHARI",
"middle_name": "P",
"credential": "RNCS, MA CAGS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "RNCS229207",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "RI",
"license": "PPNS00104",
"primary": true
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "RI",
"license": "PPNS00104",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "999",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNS",
"identifier": "PPNS00104",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "229207",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "RN50561",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARI",
"last_name": "PIZER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.