Wanda Lanell Green, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

34858 Issued in OK

Practice address

RR 1 Box 3060
Clinton, OK 73601-9303

Phone

(580) 331-3300

Fax

(580) 331-3565

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1891050498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 3060",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736019303",
            "telephone_number": "580-331-3300",
            "fax_number": "580-331-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 3060",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736019303",
            "telephone_number": "580-331-3300",
            "fax_number": "580-331-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "WANDA",
        "middle_name": "LANELL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "34858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Nicole Giles
• Cheryl Ann Golden
• Stephanie Gossen, D PH
• Virginia E Goucher
• Fayth-an Hope Gray, DNP, APRN, NP-C
• Christopher T. Gregston, M.S.W, LCSW UNDSPV
• Rebecca Grimes, BS
• Kimberly Annetta Grisham
• Ashley Ann Groves, B.A.
• Anna Grubb, MSW

• Licensed Practical Nurse in Clinton, OK
• Providers in Clinton, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.