TIFFANY REENAE GREEN RN NPI 1235969155

NPI Information

  • NPI: 1235969155
  • Provider Name: TIFFANY REENAE GREEN, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 1200 ADAMS ST
    OTTAWA, IL
    ZIP 61350
  • Phone: (815) 343-8276

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NPI Details

Tiffany Reenae Green, RN is a home health registered nurse in Ottawa, IL. Tiffany Reenae Green, RN NPI is 1235969155. 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:

1200 ADAMS ST
OTTAWA, IL
ZIP 61350-303
Phone: (815) 343-8276

The enumeration date for this NPI number is 8/5/2024 and was last updated on 8/5/2024.

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
1163WH0200XRegistered NurseHome Health041395886ILLINOISYes

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: 11/21/2025

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