IndividualActive
Tamika Green, LPN
NPI 1619637832 · Licensed Practical Nurse · Petersburg, VA
Provider details
- NPI number
- 1619637832
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0002071854 (VA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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
514 Byrne St
Petersburg, VA 23803-5002
Phone: (804) 721-7305
Street-level locationGet directions
Mailing address
514 Byrne St
Petersburg, VA 23803-5002
Registry dates
- Enumerated
- 2021-12-29
- Last updated
- 2021-12-29
- Certified
- 2021-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.