Organization Active NPI

Green Health Consulting LLC

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1932678885
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GREEN HEALTH CONSULTING LLC
Practice address
10308 W Sample Rd
Coral Springs, FL 33065-3942
Phone
(818) 815-9172
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Naseh Nawabi
Title
Owner
Phone
(818) 815-9172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10308 W Sample Rd
Coral Springs, FL 33065-3942

Mailing address

PO Box 9851
Coral Springs, FL 33075-0851

Other identifiers 2

IdentifierTypeStateIssuer
46994OtherAZLICENSE
ME114198OtherFLMEDICAL LICENSURE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2173245Green Health Consulting, LLC10308 W Sample Rd Ste a, Coral Springs, FL 33065Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory

Locations

10308 W Sample Rd
Ste A
Coral Springs, FL 33065
Phone (954) 755-0861

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": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1932678885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9851",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330750851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10308 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653942",
            "telephone_number": "818-815-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HEALTH CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "NAWABI",
        "authorized_official_first_name": "NASEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-815-9172"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "46994",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSURE",
            "identifier": "ME114198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.