Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON GREEN, HHA
DeactivatedSHANNON GREEN, HHA is a Foot & Ankle Surgery healthcare provider located in UTICA, New York. NPI 1073256616 is deactivated in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · UTICA, NY
This NPI has been deactivated.
The record was deactivated on January 1, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1073256616
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2022 (0.7013698630137 yrs)
- Last Updated
- Dec 24, 2024
- Deactivated
- Jan 1, 2023
Practice Information
- Address
-
1216 GRAY AVEUTICA, NY, 135023959Browse NY providers · Browse ZIP 13502
- Phone
- 3158640416
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
- Additional Specialty
- Foot & Ankle Surgery
Other Foot & Ankle Surgery Providers in UTICA, NY
| Name | Credential | NPI |
|---|---|---|
| DOMQENIQUE L WILLIAMS | PCA HHA | 1548010481 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.