Individual provider Active NPI

Louis S Green, REGISTERED NURSE

  • Registered Nurse
  • Coral Springs, FL
National Provider Identifier
1982950523
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
3199112 Issued in FL
Practice address
259 NW 95TH Ter
Coral Springs, FL 33071-7317
Phone
(954) 804-5561
Fax
(954) 796-5893
NPI assigned
Aug 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 3199112 FL Primary
Chore Provider 372500000X 3199112 FL

Addresses

Primary practice location

259 NW 95TH Ter
Coral Springs, FL 33071-7317

Mailing address

259 NW 95TH Ter
Coral Springs, FL 33071-7317
Phone (954) 804-5561

Other identifiers 1

IdentifierTypeStateIssuer
3199112OtherFLFLORIDA RN LICENSE #

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

State licenses

LicenseStateTypeSpecialty
3199112FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1982950523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 NW 95TH TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717317",
            "telephone_number": "954-804-5561",
            "fax_number": "954-796-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 NW 95TH TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717317",
            "telephone_number": "954-804-5561",
            "fax_number": "954-796-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LOUIS",
        "middle_name": "S",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "3199112",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "FL",
            "license": "3199112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA RN LICENSE #",
            "identifier": "3199112",
            "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 Aug 1, 2012; 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.