Keisha Howard-Green, BSN, RN, CCO

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN256680 Issued in GA

Practice address

405 Silver Ridge Rd
Covington, GA 30016-2326

Phone

(404) 263-4084

NPI assigned

Jul 14, 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

Other names 1

• Keisha Green Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1801575998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SILVER RIDGE RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300162326",
            "telephone_number": "404-263-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SILVER RIDGE RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300162326",
            "telephone_number": "404-263-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD-GREEN",
        "first_name": "KEISHA",
        "credential": "BSN, RN, CCO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN256680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEISHA",
            "last_name": "GREEN",
            "credential": "KEISHA HOWARD-GREEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Registered Nurse in Covington, GA
• Providers in Covington, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.