Alexa Green, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0069174 Issued in OK

Practice address

101 S Moore Ave
Claremore, OK 74017-5091

Phone

(918) 342-6520

Fax

(918) 342-6613

NPI assigned

May 20, 2022

Last updated

May 20, 2022By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1962140996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MOORE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175091",
            "telephone_number": "918-342-6520",
            "fax_number": "918-342-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MOORE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175091",
            "telephone_number": "918-342-6520",
            "fax_number": "918-342-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ALEXA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0069174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Lake Mental Health Center, Inc. (GRAND Mental Health)
• Grand Lake Mental Health Center, Inc.
• Catherine Marie Gray, P.T.
• Great Plains Medical Equipment Providers, Inc.
• Green Country RX LLC (Bennett's Route 66 Pharmacy)
• Bridget R Green
• Candice Michelle Green, M.S
• Chelsey Green, MS, LPC
• Teresa Green, RN
• Katie Jentry Greenwell

• Licensed Practical Nurse in Claremore, OK
• Providers in Claremore, 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 May 20, 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.