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

Q: 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.

Q: What is Shanaya Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shanaya Green was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 24, 2021

7640 BASSWOOD DR, AVON, IN 46123(803) 915-1774 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

Phone(803) 915-1774

Sole ProprietorYes

Enumeration DateFebruary 24, 2021

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

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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

Other Providers at the Same Location NPPES

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

NURSEU HEALTHCARE, LLC.

Nurse Practitioner (Primary Care)

7640 BASSWOOD DR
AVON, IN 46123

Hendricks County (803) 915-1774

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 February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.