Organization Active NPI

Shannon Green RCM Management

  • In Home Supportive Care Agency
  • Utica, NY
National Provider Identifier
1861249963
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHANNON GREEN RCM MANAGEMENT
Practice address
1216 Gray Ave
Utica, NY 13502
Phone
(315) 542-4209
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Shannon Green, HHANPI 1073256616
Title
Suporvisor /Provider
Phone
(315) 542-4209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1216 Gray Ave
Utica, NY 13502

Mailing address

1216 Gray Ave Apt 2F
Utica, NY 13502-3967
Phone (315) 542-4209

Other names 2

  • shannon green rcm management Doing business as
  • upstate pca institute Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL greenrcmmanagement@aol.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1861249963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 GRAY AVE APT 2F",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023967",
            "telephone_number": "315-542-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 GRAY AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-542-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON GREEN RCM MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SUPORVISOR /PROVIDER",
        "authorized_official_telephone_number": "315-542-4209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HHA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "greenrcmmanagement@aol.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "text",
            "address_1": "1216 Gray Ave Apt 2F",
            "city": "Utica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "135023967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "shannon green rcm management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "shannon green rcm management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "upstate pca institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.