SHANDA GREEN
NPI 1083583405
Nurse Practitioner - Family in Oklahoma City, OK

Q: What is Shanda Green's NPI number?

The NPI number for Shanda Green is 1083583405. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Q: What is Shanda Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shanda Green was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 03, 2025

13901 TECHNOLOGY DR UNIT AB, OKLAHOMA CITY, OK 73134(405) 606-2727 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shanda Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANDA GREEN (NPI 1083583405) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (228753) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1083583405

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANDA GREEN

Location Address13901 TECHNOLOGY DR UNIT ABOklahoma City, OK 73134-1052

Mailing AddressPo Box 571Piedmont, OK 73078-0571 · (304) 640-2264 · Fax (304) 640-2264

Phone(405) 606-2727

Sole ProprietorNo

Enumeration DateNovember 3, 2025

Last NPPES UpdateJune 14, 2026

NPPES CertifiedJune 14, 2026

✔ NPI 1083583405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 228753

13901 TECHNOLOGY DR UNIT AB, Oklahoma City, OK 73134

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanda Green's NPI number?

The NPI number for Shanda Green is 1083583405. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Shanda Green located?

Shanda Green practices at 13901 Technology Dr Unit Ab, Oklahoma City, OK 73134. The listed phone number is (405) 606-2727.

What is Shanda Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shanda Green was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.