Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANAYA E GREEN
NPI 1669066288
Nurse Practitioner - Adult Health in Avon, IN

Active since February 24, 2021
7640 BASSWOOD DR, AVON, IN 46123(803) 915-1774 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 29, 2026, Feb 24, 2021 (2 updates tracked since 2021).

About Shanaya E Green NPPES

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

SHANAYA E GREEN (NPI 1669066288) is an individual adult health provider in Avon, Indiana, licensed in Indiana (71010833A) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1669066288
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHANAYA E GREEN
Location Address7640 BASSWOOD DRAvon, IN 46123-7564
Mailing Address7640 Basswood DrAvon, IN 46123-7564 · (803) 915-1774
Sole ProprietorYes
Enumeration DateFebruary 24, 2021
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
✔ NPI 1669066288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71010833A
7640 BASSWOOD DR, Avon, IN 46123

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 (Primary Care)
7640 BASSWOOD DR
AVON, IN 46123

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 Shanaya Green's NPI number?

The NPI number for Shanaya Green is 1669066288. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Shanaya Green located?

Shanaya Green practices at 7640 Basswood Dr, Avon, IN 46123. The listed phone number is (803) 915-1774.

What is Shanaya Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Shanaya Green was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.