Lisa Marie Hannah Green, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN169214 Issued in GA

Practice address

3152 Summerton CT
Powder Springs, GA 30127-7033

Phone

(678) 598-0445

NPI assigned

May 28, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1811563919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 POWDER SPRINGS RD SW STE 190-269",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644850",
            "telephone_number": "678-598-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 SUMMERTON CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301277033",
            "telephone_number": "678-598-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LISA",
        "middle_name": "MARIE HANNAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN169214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DRNURSECARESERVICES@gmail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "non medical information",
            "address_1": "1750 Powder Springs Rd SW Ste 190-269",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300644850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bernard Goldstein
• Virginia A Goldstein, LCSW
• Good Samaritanhome Health LLC
• Grateful Hearts Healthcare Services LLC
• Darius Green, PTA
• Greene House Primary Care
• Stephanie Nicole Greene, FNP-C
• Alicia Loraine Gregg, PT, DPT
• Shelly Lyn Groves, RPH
• Lisa R Guarnieri

• Administrator Registered Nurse in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Administrator Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.