Kendra Sue Green, MIDWIFE

Primary specialty

MidwifeTaxonomy code 176B00000X

Practice address

5576 S State Route 202
Tipp City, OH 45371-9537

Phone

(937) 524-4755

Fax

(530) 440-7300

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

Yes

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1932814035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 S STATE ROUTE 202",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453719537",
            "telephone_number": "937-524-4755",
            "fax_number": "530-440-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5576 S STATE ROUTE 202",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453719537",
            "telephone_number": "937-524-4755",
            "fax_number": "530-440-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KENDRA",
        "middle_name": "SUE",
        "credential": "MIDWIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gobind LLC
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• Tineesha Janey Goode, RN
• Serenity Lynette Graham, LPN
• Charles Gregory Gray Jr.
• Torika Green, COTA/L
• Rachel Guilliams
• Cynthia Hackworth-Rogers, OTR/L, ATP
• Mary Haines
• Halo DME LLC

• Midwife in Tipp City, OH
• Providers in Tipp City, OH by specialty
• Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.