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Aelicia Green
NPI 1366097636 · Peer Specialist · Tahlequah, OK
Aelicia Green is a Peer Specialist provider in Tahlequah, OK (NPI 1366097636).
Provider details
- NPI number
- 1366097636
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 Leoser St
Tahlequah, OK 74464-7032
Phone: (918) 506-0192
Street-level locationGet directions
Mailing address
110 Leoser St
Tahlequah, OK 74464-7032
Registry dates
- Enumerated
- 2019-08-05
- Last updated
- 2019-08-05
Frequently asked questions
- What is Aelicia Green's NPI number?
- Aelicia Green's National Provider Identifier (NPI) is 1366097636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Aelicia Green's specialty?
- Aelicia Green is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Aelicia Green located?
- Aelicia Green's practice location on file with NPPES is 110 Leoser St, Tahlequah, OK 74464-7032.
- What is Aelicia Green's phone number?
- The practice phone number listed in the NPPES registry for Aelicia Green is (918) 506-0192.
- Is Aelicia Green's NPI active?
- Yes — Aelicia Green's NPI (1366097636) is active in the NPPES registry as of the last update on 2019-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.