Individual provider Active NPI

Albert Harris Green, ATC, EMT

  • Athletic Trainer
  • Lakeland, FL
National Provider Identifier
1881663029
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL1026 Issued in FL
Practice address
2504 Crews Lake Hills Loop N
Lakeland, FL 33813-3861
Phone
(863) 670-4311
Fax
(863) 644-8650
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL1026 FL Primary

Addresses

Primary practice location

2504 Crews Lake Hills Loop N
Lakeland, FL 33813-3861

Mailing address

2504 Crews Lake Hills Loop N
Lakeland, FL 33813-3861
Phone (863) 670-4311

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
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
AL1026FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881663029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 CREWS LAKE HILLS LOOP N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133861",
            "telephone_number": "863-670-4311",
            "fax_number": "863-644-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 CREWS LAKE HILLS LOOP N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133861",
            "telephone_number": "863-670-4311",
            "fax_number": "863-644-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ALBERT",
        "middle_name": "HARRIS",
        "name_prefix": "Mr.",
        "credential": "ATC, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.