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Deactivated NPI 1700829298 Deactivated / Inactive NPI Female Practitioner

Dolly K Green

Nurse Practitioner • Indianapolis, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dolly Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2006
NPI Deactivation Date December 16, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dolly Green was a registered Nurse Practitioner practicing in Indianapolis, IN. Throughout an active medical career spanning 16 years, Dolly Green provided care at the practice location at 2732 W MICHIGAN ST until profile deactivation on 2022-12-16.

Practice Location & Contact Primary Location

Practice Address

2732 W Michigan St

Indianapolis, IN 462223750

Telephone 3175544600
Fax 3175544617
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
477 Specialists

Practicing in Indianapolis, IN (2620 Statewide)

Telehealth Adoption Rate
10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71000872A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Kelly Lentz , APRN

Nurse Practitioner - Family

NPI 1003483157

Advanced Practice Registered Nurse

Mariam Qureshi

Podiatrist

NPI 1003499138
NPI 1073570495

Doctor of Medicine (M.D.)

Amy Dirrim , FNP

Nurse Practitioner - Family

NPI 1093114027

Family Nurse Practitioner

NPI 1093773269

Doctor of Medicine (M.D.)

NPI 1154591220

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 16, 2022

Record deactivated on December 16, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2732 W MICHIGAN ST, INDIANAPOLIS, IN 462223750 (Tel: 3175544600)

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Updated Business Mailing Address July 08, 2007

Registered at 7 FAIRWOOD DR, BROWNSBURG, IN 461121945 (Tel: 3175544611)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DOLLY GREEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #71000872A in IN)

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Initial NPI Registration & Enumeration June 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700829298
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2006
Last Update: July 08, 2007
Deactivation Date: December 16, 2022

Mailing Address

7 Fairwood Dr

Brownsburg, IN 461121945

Phone: 3175544611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.