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KANISHA RENEE GREEN
NPI 1609271303
Peer Specialist in Sacramento, CA

Active since October 24, 2014
3840 ROSIN CT, SACRAMENTO, CA 95834(916) 230-2748 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 18, 2023, Feb 24, 2017 (2 updates tracked since 2017).

About Kanisha Renee Green NPPES

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

KANISHA RENEE GREEN (NPI 1609271303) is an individual peer specialist in Sacramento, California, licensed in California (MPSS-MWBXCL) and active in the NPI registry since October 2014. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1609271303
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKANISHA RENEE GREEN
Location Address3840 ROSIN CTSacramento, CA 95834-1639
Mailing Address3840 Rosin CtSacramento, CA 95834-1639 · (916) 230-2748
Phone(916) 230-2748
Sole ProprietorNo
Enumeration DateOctober 24, 2014
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1609271303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-MWBXCL
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3840 ROSIN CT, Sacramento, CA 95834
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Secondary Practice Location 1

Location 13440 Viking Dr Ste 114Sacramento, CA 95827-2844 · Phone (916) 287-4067

Other Providers at the Same Location NPPES 20

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

JAMIAH AMOR GASCON
Adult Companion
3840 ROSIN CT
SACRAMENTO, CA 95834
Sacramento County (916) 921-0828
MILANI DEJANAE LOMACK
Behavior Technician
3840 ROSIN CT
SACRAMENTO, CA 95834
Sacramento County (916) 374-0800
LYZA MIA GARCIA
Behavior Technician
3840 ROSIN CT
SACRAMENTO, CA 95834
Sacramento County (916) 374-0800
DOMANIKA LOUISE WILLIAMS
Community Health Worker
3840 ROSIN CT
SACRAMENTO, CA 95834
Sacramento County (408) 379-3790
MIA ELEXIS ROMERO
Behavior Technician
3840 ROSIN CT
SACRAMENTO, CA 95834
Sacramento County (916) 374-0800
KEYNA GWEN WARDLOW
Adult Companion
3840 ROSIN CT
SACRAMENTO, CA 95834
Sacramento County (916) 921-0828
DESTINEE AUDREY ELLIS
Behavior Technician
3840 ROSIN CT
SACRAMENTO, CA 95834
Sacramento County (916) 374-0800
MERCEDES DANIELLE BARLOW
Behavior Technician
3840 ROSIN CT
SACRAMENTO, CA 95834
Sacramento County (916) 374-0800

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 Kanisha Green's NPI number?

The NPI number for Kanisha Green is 1609271303. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Kanisha Green located?

Kanisha Green practices at 3840 Rosin Ct, Sacramento, CA 95834. The listed phone number is (916) 230-2748.

What is Kanisha Green's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kanisha Green was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.