TINA LUANNE GREEN (NPI# 1013476506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013476506 |
| Entity Type | Individual |
| Full Name | TINA LUANNE GREEN |
| Credential | FNP-BC |
| Practice Address |
104 Willis Plz Gaffney SC 29341-1500 |
| Mailing Address |
656 Sloan Rd Lyman SC 29365-9509 |
| Practice Telephone | 8007929030 |
| Mailing Telephone | 8645808000 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21930 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | OFFICE DOES NOT ACCEPT INSURANCE, MEDICARE OR MEDICAID. | 21930 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528479797 | Tina Green | Home Health Aide | 201 Highland Dr Apt 111, Taylor, TX 76574-1849 | 2014-05-09 |
| 1790798395 | Tina Marie Green | Home Health Aide | 68429 Terrace St, Lansing, OH 43934-0326 | 2006-08-14 |
| 1023017050 | Tina Marie Green | Registered Nurse | 402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 | 2005-07-20 |
| 1407231657 | Tina Linette Green | Marriage & Family Therapist | 2731 Nugget Ave, Lake Isabella, CA 93280 | 2015-07-29 |
| 1972981678 | Tina Katrice Green | Counselor | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2015-05-13 |
| 1255730826 | Tina Renee Green | Social Worker | 5700 Executive Center Dr, Charlotte, NC 28212-8858 | 2014-08-19 |
| 1881027928 | Tina Green | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2013-08-13 |
| 1093969719 | Tina J Green | Speech-Language Pathologist | 3550 Hulen St, Suite D, Fort Worth, TX 76107-6808 | 2008-11-07 |
| 1134336787 | Tina Kay Green | Occupational Therapist | 803 Poplar St, Murray, KY 42071-2432 | 2007-05-16 |
| 1992897862 | Tina Denise Green | Social Worker | 2304 Copper Ridge Rd, Arlington, TX 76006-2725 | 2006-09-29 |
| Street Address |
104 WILLIS PLZ |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29341-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855564 | Taylor Lynn Helms | Speech-Language Pathologist | Cherokee County School District 1, 141 Twin Lake Rd, Gaffney, SC 29341 | 2019-08-09 |
| 1679092084 | Jasmine Evonne Tate | Specialist/Technologist | 131 Poplar Ridge Drive, Gaffney, SC 29341 | 2017-09-18 |
| 1538532163 | Gail Ritchie-antenucci | Counselor | 401 S. Logan Street, Gaffney, SC 29341 | 2015-11-04 |
| 1457755381 | Advantage Early Intervention of The Upstate | Early Intervention Provider Agency | 428 Old Metal Road, Gaffney, SC 29341 | 2014-10-21 |
| 1245659945 | Rebecca Wheeler | Registered Nurse | 855 West Rutledge Avenue, Gaffney, SC 29341 | 2014-04-09 |
| 1558677559 | Lisa Bishop, Mcd,ccc-slp | Speech-Language Pathologist | 109 A Chelle Lin Drive, Gaffney, SC 29341 | 2010-08-27 |
| 1912101965 | Palmetto Chiropractic Plus | Chiropractor | 428 Hyatt Street Ste B, Gaffney, SC 29341 | 2007-06-13 |
| 1093919391 | Chiropractic Wellness Inc | Chiropractor | 122 S. Granard Street, Gaffney, SC 29341 | 2007-06-12 |
| 1003038084 | Kathy Jo Bratton | Specialist/Technologist | 153 Green Park Drive, Gaffney, SC 29341 | 2007-05-02 |
| 1225155138 | Wanda Marie Bobo | Occupational Therapy Assistant | 233 Tiffany Park, Gaffney, SC 29341 | 2007-03-23 |
| Find all providers in zip 29341 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116943 | Mark Reynolds | Nurse Practitioner | 840 West Floyd Baker Blvd, Gaffney, SC 29340 | 2019-07-24 |
| 1700373206 | Brandi Nicole Rose | Nurse Practitioner | 1133 Oak Ridge Rd, Gaffney, SC 29341-5021 | 2018-04-19 |
| 1255832598 | Dana Nicole Stanford | Nurse Practitioner | 1610 N Limestone St, Gaffney, SC 29340-2312 | 2018-02-22 |
| 1659756310 | Carrie Keenan Hall | Nurse Practitioner | 1506 N Limestone St Ste C, Gaffney, SC 29340-4747 | 2015-07-23 |
| 1811501935 | Teresa Ann Smith | Nurse Practitioner | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2020-09-04 |
| 1518443076 | Melisa Hammett | Nurse Practitioner | 1604 N Limestone St, Gaffney, SC 29340 | 2018-07-17 |
| 1760978969 | Katlyn Olivia Mauney | Nurse Practitioner | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2018-07-11 |
| 1437651767 | Jessica Weathers Stamey | Nurse Practitioner | 1530 N Limestone St, Gaffney, SC 29340-4742 | 2018-03-02 |
| 1649789579 | Kathleen Gilfillan Bowling | Nurse Practitioner | 517 Chesnee Hwy, Gaffney, SC 29341-2709 | 2017-09-22 |
| 1912423757 | Jason Hennessy | Nurse Practitioner | 1604 N Limestone St, Gaffney, SC 29340-2312 | 2017-08-14 |
| Find all providers in GAFFNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.