STACEY R GREEN LPN
NPI 1780200758
Licensed Practical Nurse in Syracuse, NY

Q: What is Stacey Green's NPI number?

The NPI number for Stacey Green is 1780200758. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Stacey Green's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Green was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 24, 2020

707 MEADOWBROOK DR, SYRACUSE, NY 13210(315) 726-4308 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Stacey R Green Lpn NPPES

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

STACEY R GREEN LPN (NPI 1780200758) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (321760) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1780200758

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSTACEY R GREENCredential: LPN

Location Address707 MEADOWBROOK DRSyracuse, NY 13210-3113

Mailing Address707 Meadowbrook DrSyracuse, NY 13210-3113 · (315) 726-4308

Phone(315) 726-4308

Sole ProprietorYes

Enumeration DateJune 24, 2020

NPPES CertifiedJune 24, 2020

✔ NPI 1780200758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 321760

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

707 MEADOWBROOK DR, Syracuse, NY 13210

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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 Stacey Green's NPI number?

The NPI number for Stacey Green is 1780200758. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Stacey Green located?

Stacey Green practices at 707 Meadowbrook Dr, Syracuse, NY 13210. The listed phone number is (315) 726-4308.

What is Stacey Green's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacey Green was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.