GREEN HEALTH COLLECTIVE, LLC
NPI 1255184206
Nurse Practitioner - Family in Woodbridge, CT

Active since April 09, 2024CLIA 07D2312047 · Waiver
270 AMITY RD STE 132, WOODBRIDGE, CT 06525(203) 318-6143(475) 271-8574 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Jun 20, 2024, Apr 9, 2024 (3 updates tracked since 2024).

About Green Health Collective, Llc NPPES

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

GREEN HEALTH COLLECTIVE, LLC (NPI 1255184206) is a healthcare organization registered as a family in Woodbridge, Connecticut and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Christa Mann, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1255184206
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGREEN HEALTH COLLECTIVE, LLC
Location Address270 AMITY RD STE 132Woodbridge, CT 06525-2236
Mailing Address270 Amity Rd Ste 132Woodbridge, CT 06525-2236 · (203) 318-6143 · Fax (475) 271-8574
Fax(475) 271-8574
Organization SubpartNo
Authorized OfficialChrista MannOwner/operator · (607) 426-5939
Enumeration DateApril 9, 2024
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
NPI 1255184206 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
270 AMITY RD STE 132, Woodbridge, CT 06525

Other Identifiers 1

Medicaid008063350CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2312047

Green Health Collective, LLC · Woodbridge, CT
Active · expires Oct 2, 2026
CLIA Number07D2312047
Laboratory TypePractitioner Other
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorChrista M. Mann
Laboratory Phone(203) 318-6143
Laboratory LocationGreen Health Collective, LLC270 Amity Road, Suite 132, Woodbridge, CT 06525
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
270 AMITY RD STE 132
WOODBRIDGE, CT 06525

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 Green Health Collective, LLC's NPI number?

The NPI number for Green Health Collective, LLC is 1255184206. It was assigned to this organization in the NPPES registry on April 9, 2024.

Where is Green Health Collective, LLC located?

Green Health Collective, LLC is located at 270 Amity Rd Ste 132, Woodbridge, CT 06525. The listed phone number is (203) 318-6143.

What is Green Health Collective, LLC's specialty?

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

Does Green Health Collective, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2312047) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Green Health Collective, LLC was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.