Active NPI
Stephanie Rae Green I, RN
- Registered Nurse
- Cincinnati, OH
National Provider Identifier
1952870214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 304839
- Practice address
- 1228 Considine Ave
Cincinnati, OH 45204-1604 - Phone
- (513) 363-6021
- NPI assigned
- Nov 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 304839 | OH | Primary |
Addresses
Primary practice location
1228 Considine Ave
Cincinnati, OH 45204-1604
Mailing address
1935 Cruey LN
Batavia, OH 45103-8494
Phone (513) 545-8860
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304839 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1952870214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 CRUEY LN",
"city": "BATAVIA",
"state": "OH",
"postal_code": "451038494",
"telephone_number": "513-545-8860",
"fax_number": "513-363-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 CONSIDINE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452041604",
"telephone_number": "513-363-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "STEPHANIE",
"middle_name": "RAE",
"name_suffix": "I",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "304839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.