Active NPI
Destiny Green, ND
- Naprapath
- Amherst, NH
National Provider Identifier
1790296127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naprapath
- License
- 0005
- Practice address
- 109 Ponemah Rd Ste 9
Amherst, NH 03031-2834 - Phone
- (603) 249-5771
- NPI assigned
- Oct 12, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naprapath | 172P00000X | 0005 | NH | Primary |
Addresses
Primary practice location
109 Ponemah Rd Ste 9
Amherst, NH 03031-2834
Mailing address
109 Ponemah Rd Ste 9
Amherst, NH 03031-2834
Phone (603) 249-5771
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenhouse Natural Medicine LLC | 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.
-
- Family Medicine Physician
- Amherst, NH
- NPI 1346899507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1790296127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PONEMAH RD STE 9",
"city": "AMHERST",
"state": "NH",
"postal_code": "030312834",
"telephone_number": "603-249-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 PONEMAH RD STE 9",
"city": "AMHERST",
"state": "NH",
"postal_code": "030312834",
"telephone_number": "603-249-5771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "DESTINY",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-12",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "172P00000X",
"taxonomy_group": "",
"desc": "Naprapath",
"state": "NH",
"license": "0005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.