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DORA RENEE GREEN CRNA NPI 1245217124


NPI Information

NPI: 1245217124
Provider Name: DORA RENEE GREEN, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: ANESTHESIA GROUP PRACTICE INC Address:
2600 GREENBUSH ST
LAFAYETTE, IN
ZIP 47904
Phone: (765) 448-8000
Get Directions

Dora Renee Green, CRNA is a nurse anesthetist certified registered in Lafayette, IN with 24 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Dora Renee Green, CRNA NPI is 1245217124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2600 GREENBUSH ST
LAFAYETTE, IN
ZIP 47904-477
Phone: (765) 448-8000

The enumeration date for this NPI number is 12/30/2005 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered209.013944ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
174006495MEDICAIDKENTUCKY
2000000196948OTHERANTHEM BLUE SHIELD
3000001092366OTHERINDIANAANTHEM PROVIDER NUMBER
4200371350MEDICAIDINDIANA
5300004136MEDICAIDINDIANA
6617576OTHERKENTUCKYWELLCARE
7728022OTHERBUCKEYE
82247661MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.