Chanhom L. Green, REGISTERED NURSE
NPI 1124799176ActiveIndividual· Registered Nurse, School· Ithaca, NY
Registered Nurse, School (REGISTERED NURSE) in Ithaca, New York, licensed in NY, with an NPI issued in September 2021.
Overview
| NPI | 1124799176 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED NURSE |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2021 |
| Last updated in NPPES | Sep 21, 2021 |
| Certified by provider | Sep 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, School Primary | 163WS0200X | 77531301 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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