MEGHAN SUZANNE GREEN CPNP-PC NPI 1043374259

NPI Information

NPI: 1043374259
Provider Name: MEGHAN SUZANNE GREEN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
111 HUNDERTMARK RD
#420
CHASKA, MN
ZIP 55318
Phone: (952) 448-3847
Get Directions

Meghan Suzanne Green, CPNP-PC is a pediatrics nurse practitioner in Chaska, MN. Meghan Suzanne Green, CPNP-PC NPI is 1043374259. 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:

111 HUNDERTMARK RD
#420
CHASKA, MN
ZIP 55318-459
Phone: (952) 448-3847
Fax: (952) 448-5083

The NPI 1043374259 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 10/24/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	R226548-7	MINNESOTA	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	F381703	NEW YORK	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P019381703	OTHER	NEW YORK	BLUE CHOICE
2	149194DL	OTHER	NEW YORK	PREFERRED CARE
3	02576878	MEDICAID	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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