Active NPI
Nakisha Green, LMT
- Doula
- Douglasville, GA
National Provider Identifier
1992175277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 3885 Rosita Ave
Douglasville, GA 30135-2745 - Phone
- (049) 329-7864
- NPI assigned
- Sep 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary | ||
| Massage Therapist | 225700000X | MSG009967 | PA |
Addresses
Primary practice location
3885 Rosita Ave
Douglasville, GA 30135-2745
Mailing address
3885 Rosita Ave
Douglasville, GA 30135-2745
Phone (049) 329-7864
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
| License | State | Type | Specialty |
|---|---|---|---|
| MSG009967 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1992175277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3885 ROSITA AVE",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301352745",
"telephone_number": "049-329-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 ROSITA AVE",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301352745",
"telephone_number": "049-329-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "NAKISHA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG009967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.