Overview
Faqueta Kenisha Green is a Psychiatric/Mental Health Nurse Practitioner practicing in Savannah, Georgia. The National Provider Identifier (NPI) is #1558992974, which was assigned on February 4, 2020, and the registration record was last updated on February 4, 2020. The practitioner's main practice location is at 633 Stephenson Ave, Savannah, GA 31405-5970; the contact telephone number is 9122243641. The primary taxonomy of Faqueta Kenisha Green is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), with specialization in Psychiatric/Mental Health. Faqueta Kenisha Green is licensed to practice in the state of Georgia (#209710).
Provider Information
| NPI | 1558992974 |
| Entity Type | Individual |
| Provider Name | MS. FAQUETA KENISHA GREEN |
| Gender | Female |
| Credential | APRN, PMHNP-BC |
| Practice Address | 633 Stephenson Ave Savannah GA 31405-5970 |
| Practice Telephone | 9122243641 |
| Mailing Address | 134 Roseberry Cir Port Wentworth GA 31407-5613 |
| Mailing Telephone | 9122243641 |
| Certification Date | 2020-02-04 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Is Sole Proprietor | Y |
Doctor and Clinician Information
| PAC ID | 0547681017Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | FAQUETA KENISHA GREEN |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | SGMP SOUTHLAND, LLC |
| Address | 1150 Cornell Ave Savannah GA 31406-2702 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 209710 | GA |
Taxonomy Information
Primary Taxonomy
| Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Psychiatric/Mental Health |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Definition: Definition to come...
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Julia M Johnson | 469 Fairway Ln, University Park, IL 60484-2746 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-08 |
| Rita Goode | 34222 Toyon Ct, Lake Elsinore, CA 92532-2933 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-07 |
| Fuselier Family Clinic | 302 W 4th St Ste A, Dequincy, LA 70633-3404 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-07 |
| Angela M Zammuto | 5 Harvard Ave, Burlington, MA 01803-1313 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-07 |
| Yaili Milagro Almaguer Betancourt | 11415 Caswell Springs Way, Louisville, KY 40291-8325 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-08 |
| Courtney Breaux Cox | 126 Anatole Dr, Lafayette, LA 70508-8179 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-07 |
| Marquita Henson | 2200 Grant St, Gary, IN 46404-3439 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-07 |
| Dean Bigelow | 13260 Hollow Rd, Caldwell, ID 83607-7526 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-08 |
| Jean Mozart Michel | 6172 Oak Bluff Way, Lake Worth, FL 33467-7136 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-07 |
| One Stop Mental Health Clinic LLC | 27050 Cedar Rd, Beachwood, OH 44122-8102 | Psychiatric/Mental Health Nurse Practitioner | 2024-06-08 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 633 STEPHENSON AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-5970 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lauren Brittany Tatum · Lauren Brittany Hodges | 633 Stephenson Ave, Savannah, GA 31405-5970 | Psychiatric/Mental Health Nurse Practitioner | 2020-02-18 |
| Uhs of Savannah LLC · Coastal Behavioral Health | 633 Stephenson Ave, Savannah, GA 31405-5970 | Psychiatric Hospital | 2009-04-22 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Brendan Joseph Dochney | 635 Stephenson Ave, Savannah, GA 31405-5970 | Professional Counselor | 2015-03-10 |
| Amy B Millsap | 639a Stephenson Ave, Savannah, GA 31405-5970 | Medical Physician Assistant | 2009-04-17 |
| Claudia Nadine Gaughf | 639 Stephenson Ave., A, Savannah, GA 31405-5970 | Dermatology Physician | 2006-10-04 |
| Alana Palomar Cox | 635 Stephenson Ave, Savannah, GA 31405-5970 | Psychiatry Physician | 2007-04-03 |
| Blair Wente Schrepel | 639a Stephenson Ave, Savannah, GA 31405-5970 | Medical Physician Assistant | 2013-12-09 |
| Nicole Silvernail | 635 Stephenson Ave, Savannah, GA 31405-5970 | Psychiatric/Mental Health Nurse Practitioner | 2022-08-03 |
| Kristine Nickel Gayle · Krissi Gayle | 635 Stephenson Ave, Savannah, GA 31405-5970 | Clinical Social Worker | 2007-01-03 |
| Chatham Skin and Cancer Center | 639 Stephenson Ave., A, Savannah, GA 31405-5970 | Dermatology Physician | 2006-10-04 |
| Margaret Alyssa Hughes Alexander | 635 Stephenson Ave, Savannah, GA 31405-5970 | Clinical Social Worker | 2013-08-01 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Chelsea Amanda Keedy | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | Ambulatory Care Pharmacist | 2018-07-11 |
| Mallory Boyette | 5354 Reynolds Street, Professional Building Suite 318, Savannah, GA 31405 | Family Nurse Practitioner | 2019-06-25 |
| Zion Pointe Health, LLC | 713 East 65th Street, Savannah, GA 31405 | Durable Medical Equipment & Medical Supplies | 2016-03-03 |
| Olha Oliynyk | 17 Park of Commerce Drive, Suite 103, Savannah, GA 31405 | Behavior Technician | 2024-03-04 |
| Brianna Sapp · Brianna Russell | 5356 Reynolds Street, Suite 505, Savannah, GA 31405 | Nurse Practitioner | 2018-12-27 |
| Health Pointe Ortho Gear, LLC | 713 E 65th St, Savannah, GA 31405 | Durable Medical Equipment & Medical Supplies | 2016-06-16 |
| Kimberly Michelle Wilke | 8 Wheeler St, Savannah, GA 31405 | Nurse Practitioner | 2016-04-04 |
| Accucare Medical Equipment, LLC · Aerocare | 1000 Business Center Dr Ste 30, Savannah, GA 31405 | Oxygen Equipment & Supplies (DME) | 2016-10-12 |
| Everyday Diabetes Center, LLC | 5105 Paulsen St., Suite 241b, Savannah, GA 31405 | Medical Specialty Clinic/Center | 2019-01-24 |
| Amanda Kort, LLC | 37 West Fairmont Avenue, Savannah, GA 31405 | Preferred Provider Organization | 2015-11-19 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kenisha Bach | 505 Kansas City St, Rapid City, SD 57701-4146 | Occupational Therapist | 2023-05-01 |
| Kenisha Hardy · Kenisha Miller | 2845 Cove Crossing Dr, Lawrenceville, GA 30045-8621 | Social Worker | 2015-05-11 |
| Kenisha Hall | 3840 Hulen St, Fort Worth, TX 76107-7277 | Registered Nurse | 2022-06-24 |
| Kenisha Pope | 131 Hay St, Fayetteville, NC 28301-5783 | Community Health Worker | 2023-11-17 |
| Kenisha Valdez | 1817 Wellspring Ave Se, Rio Rancho, NM 87124-4956 | Behavior Technician | 2019-07-08 |
| Kenisha De'Ann Faniel | 12900 Paramount Blvd, Downey, CA 90242 | Chiropractor | 2013-08-06 |
| Kenisha Drake | 514 49th St, Brooklyn, NY 11220-2010 | Counselor | 2016-08-12 |
| Kenisha Chase | 15565 Northland Drive 411w, Southfield, MI 48075 | Other Technician | 2014-10-10 |
| Kenisha Graves-Drayton | 2300 Gessner Rd # 203, Houston, TX 77080-5006 | Mental Health Counselor | 2019-02-05 |
| Kenisha Garcia | 522 Lomax St, Idaho Falls, ID 83401 | Mental Health Counselor | 2023-12-07 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
