Individual
REBECCA L GREEN
Active
Individual
REBECCA L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
15-01210
KS
363AS0400X
Surgical Physician Assistant
2007028966
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39905011
BCBS TRICARE
—
01
—
P00467259
RR MEDICARE-MO
MO
01
—
P00467266
RR MEDICARE-KS
KS
Enumeration date
08/10/2007
Last updated
11/28/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up