MS. PHYLLIS R GREEN WHCNP
NPI 1558331439
Nurse Practitioner - Women's Health in Cedar Rapids, IA

Active since January 24, 2006
3425 1ST AVE SE, SUITE 100, CEDAR RAPIDS, IA 52402(319) 363-3459 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Phyllis R Green Whcnp NPPES

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

MS. PHYLLIS R GREEN WHCNP (NPI 1558331439) is an individual women's health provider in Cedar Rapids, Iowa, licensed in Iowa (F-076357) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1558331439
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. PHYLLIS R GREENCredential: WHCNP
Location Address3425 1ST AVE SE, SUITE 100Cedar Rapids, IA 52402-6155
Mailing Address3425 1st Ave Se, Suite 100Cedar Rapids, IA 52402-6155 · (319) 363-3459
Sole ProprietorYes
Enumeration DateJanuary 24, 2006
Last NPPES UpdateNovember 10, 2010
✔ NPI 1558331439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IA · F-076357
3425 1ST AVE SE, Cedar Rapids, IA 52402

Other Names 1

Former Name (1)Mrs. Phyllis R Berg

Other Identifiers 15

Medicaid6826080SD
Medicaid10025013500NE
Medicaid095817400MN
Medicaid6826082SD
Other4998913SD · Bcbs Sd (wellmark)
Other1043738America's Ppo (araz)
Other122187Ucare
Medicare ID-Type Unspecified100424SD
OtherHP39675Health Partners
Medicare UPINP60788
Other1017855Preferred One
Other07-12543Medica
Other23511Sioux Valley Health Plan
Other4998568SD · Bcbs Sd (wellmark)
Other32B01BEMN · Bcbs Mn

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 Phyllis Green's NPI number?

The NPI number for Phyllis Green is 1558331439. It was assigned to this individual provider in the NPPES registry on January 24, 2006. The provider is also known as Mrs. Phyllis R Berg.

Where is Phyllis Green located?

Phyllis Green practices at 3425 1st Ave SE Suite 100, Cedar Rapids, IA 52402. The listed phone number is (319) 363-3459.

What is Phyllis Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Phyllis Green was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.