MISS TINA MARIE GREEN (NPI# 1023017050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023017050 |
| Entity Type | Individual |
| Full Name | MISS TINA MARIE GREEN |
| Credential | CRNP |
| Practice Address |
402 E Sycamore Rd Box 398 Snow Shoe PA 16874-8832 |
| Mailing Address |
2135 Apple Ln Box 31 North Bend PA 17760-9423 |
| Practice Telephone | 8143876857 |
| Practice Fax Number | 8143876870 |
| Mailing Telephone | 5709232556 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2013-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN520073L | PA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | VP006945B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RX AUTH | 017968 | 01 |
| NATIONAL AANP-CERT | F1104016 | 01 | |
| PA | 101182180 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476506 | Tina Luanne Green | Nurse Practitioner | 104 Willis Plz, Gaffney, SC 29341-1500 | 2019-03-14 |
| 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 |
| 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 |
402 E SYCAMORE RD BOX 398 |
| City | SNOW SHOE |
| State | PA |
| Zip Code | 16874-8832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245546472 | Patricia A Butler | Nurse Practitioner | 402 E Sycamore Rd, Snow Shoe, PA 16874 | 2010-08-25 |
| 1508889858 | Moshannon Valley Pharmacy Inc | Pharmacy | 402 E Sycamore Rd, Snow Shoe, PA 16874-8832 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225442619 | Intranerve | Specialist/Technologist, Other | 115 West Sunset Avenue, Snow Shoe, PA 16874 | 2014-06-13 |
| 1407018617 | Nathan A Pecht | Dentist | 115 S Moshannon Ave, Apt A, Snow Shoe, PA 16874 | 2008-06-28 |
| 1326030065 | Snow Shoe Ambulance & Rescue Service | Ambulance | 492 W Sycamore Rd, Snow Shoe, PA 16874-0127 | 2005-08-18 |
| 1174615686 | Keystone Rural Health Consortia Inc | Clinic/Center | 402 East Sycamore Street, Snow Shoe, PA 16874-0402 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225442619 | Intranerve | Specialist/Technologist, Other | 115 West Sunset Avenue, Snow Shoe, PA 16874 | 2014-06-13 |
| 1407018617 | Nathan A Pecht | Dentist | 115 S Moshannon Ave, Apt A, Snow Shoe, PA 16874 | 2008-06-28 |
| 1174615686 | Keystone Rural Health Consortia Inc | Clinic/Center | 402 East Sycamore Street, Snow Shoe, PA 16874-0402 | 2006-09-29 |
| 1326030065 | Snow Shoe Ambulance & Rescue Service | Ambulance | 492 W Sycamore Rd, Snow Shoe, PA 16874-0127 | 2005-08-18 |
| 1245546472 | Patricia A Butler | Nurse Practitioner | 402 E Sycamore Rd, Snow Shoe, PA 16874 | 2010-08-25 |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648320 | Jennifer Glace | Nurse Practitioner | 5 Moore Cir, Media, PA 19063-4953 | 2020-10-28 |
| 1710586805 | Tracey Wuestkamp Sloan | Nurse Practitioner | 5218 Bailey Ct W, Doylestown, PA 18902-1477 | 2020-10-20 |
| 1477151280 | Kelly M. Distelrath | Nurse Practitioner | 4203 Timberlane Dr, Allison Park, PA 15101-2954 | 2020-10-14 |
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1679170989 | Aubree Marie Richards | Nurse Practitioner | 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 | 2020-10-08 |
| 1326654237 | Alissa Marie Buckanavage | Nurse Practitioner | 6223 Autumn View Dr, Harrisburg, PA 17112-1843 | 2020-09-17 |
| 1508471962 | Macey Schaffer | Nurse Practitioner | 2903 Broadway Ave, Pittsburgh, PA 15234-2801 | 2020-09-12 |
| 1710592472 | Novique Medical Aesthetics | Nurse Practitioner | 1715 S Easton Rd, Doylestown, PA 18901-5923 | 2020-09-10 |
| 1992318141 | Mary Jucel P Angeles | Nurse Practitioner | 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 | 2020-08-27 |
| 1205448818 | Emily A Lockwood | Nurse Practitioner | 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 | 2020-08-17 |
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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.