Phyllis Lavern Green, RN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

R65718 Issued in AR

Practice address

10 Rachel CT
Little Rock, AR 72206-5409

Phone

(214) 438-7765

Fax

(501) 847-1100

NPI assigned

Jan 18, 2008

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Step by Step Health, Inc.

  • Home Health Agency
  • Little Rock, AR
  • NPI 1093450249
  NPD Authorized official
• Step by Step Health, Inc.

  • Case Management Agency
  • Little Rock, AR
  • NPI 1174450142
  NPD Authorized official

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1902082035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MARCHWOOD CV",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722103704",
            "telephone_number": "501-541-8311",
            "fax_number": "501-379-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RACHEL CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722065409",
            "telephone_number": "214-438-7765",
            "fax_number": "501-847-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PHYLLIS",
        "middle_name": "LAVERN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": "R65718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Dunn-McDermott Green, MS, RD, LDN
• Morgan L Green
• Nick Green, PHARMD
• Paige Green
• Patricia Green, B.A.
• Richard Kyle Green
• Shelby B Green, CRNA
• Sherry Green
• Sue Green
• Stewart Greenberg, MD

• Case Manager/Care Coordinator in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.