Active NPI
Caitlin Green, FNP-C
- Family Nurse Practitioner
- Carmel, IN
National Provider Identifier
1811434574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F05240235
- Practice address
- 13421 Old Meridian St Ste 200
Carmel, IN 46032-1411 - Phone
- (317) 243-3000
- NPI assigned
- Jan 19, 2017
- Last updated
- May 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F05240235 | IN | Primary |
| Athletic Trainer | 2255A2300X | 36002320A | IN |
Addresses
Primary practice location
13421 Old Meridian St Ste 200
Carmel, IN 46032-1411
Mailing address
7740 Jamestown South Dr
Fishers, IN 46038-1989
Phone (317) 407-1461
Other practice location 1
6215 S Franklin Rd
Athletic Department
Indianapolis, IN 46259-9600
Phone (317) 803-5568
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 |
|---|---|---|---|
| 36002320A | IN | MD | Athletic Trainer |
| F05240235 | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1811434574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7740 JAMESTOWN SOUTH DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381989",
"telephone_number": "317-407-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13421 OLD MERIDIAN ST STE 200",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321411",
"telephone_number": "317-243-3000"
}
],
"practiceLocations": [
{
"address_1": "6215 S Franklin Rd",
"address_2": "Athletic Department",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462599600",
"country_code": "US",
"telephone_number": "317-803-5568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "CAITLIN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F05240235",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002320A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.