NICOLE E GREEN (NPI# 1053873786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053873786 |
Entity Type | Individual |
Full Name | NICOLE E GREEN |
Credential | PA-C |
Practice Address |
500 Upper Chesapeake Dr Bel Air MD 21014-4324 |
Practice Telephone | 4436431500 |
Practice Fax Number | 4436431505 |
Mailing Telephone | 4436431500 |
Mailing Fax Number | 4436431505 |
Enumeration Date | 2019-04-02 |
Last Update Date | 2020-03-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0007198 | MD | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053926618 | Nicole Camille Green | Counselor | 33 Arthur Ave Apt 20, East Providence, RI 02914-4020 | 2020-09-10 |
1902259328 | Nicole Green | Contractor | 2985 Juniper Hills Blvd Unit 202, Las Vegas, NV 89142-2961 | 2016-07-20 |
1548638869 | Nicole Hoff Green | Nurse Practitioner | 2989 Caledonia St, Marianna, FL 32446-3005 | 2015-09-02 |
1083002430 | Nicole Renee Green | Veterinarian | 14370 Parallel Rd, Basehor, KS 66007-3004 | 2015-01-07 |
1891115531 | Nicole Cara Green | Counselor | 9950 Sw Landau Pl, Tigard, OR 97223-1013 | 2014-04-21 |
1740893478 | Nicole Dawn Green | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-08-24 |
1174144273 | Nicole Green | Pharmacist | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2020-04-29 |
1932628880 | Nicole A Green | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2017-09-12 |
1043736101 | Nicole Rene Green | Occupational Therapist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2017-08-20 |
1508399684 | Nicole Green | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Place, University of Colorado School of Medicine Gme, Aurora, CO 80045-2581 | 2017-04-06 |
Street Address |
500 UPPER CHESAPEAKE DR |
City | BEL AIR |
State | MD |
Zip Code | 21014-4324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942203211 | Kalpana Nmn De | Family Medicine | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2005-05-31 |
1215536883 | Ella Mensah | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2020-10-23 |
1215547948 | Brianna Stenbar | Registered Nurse | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2020-08-06 |
1154930725 | Mina Rose Mariel Silva Sorra | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2020-07-29 |
1104442326 | Carolyn Mccomas Greely | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2020-06-23 |
1003448606 | Upper Chesapeake Surgical Associates, LLC | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2020-02-11 |
1639700321 | Wildora Francess Saccoh | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2020-01-31 |
1598305625 | Jeanette Marie Rose | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2020-01-07 |
1851949705 | Abenaa Asiama | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2019-09-03 |
1154978393 | Oretha Love Sogbie | Nurse Practitioner | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2019-08-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
Find all providers in zip 21014 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154867422 | Nathan William Toth | Physician Assistant | 602 S Atwood Rd Ste 100, Suite 100, Bel Air, MD 21014-4198 | 2017-01-11 |
1730499070 | Sarah Louise Mohr | Physician Assistant | 602 S. Atwood Rd, #200 A, Bel Air, MD 21014-4396 | 2010-10-20 |
1568560761 | David John Ericson | Physician Assistant | 520 Upper Chesapeake Dr Ste 206, Bel Air, MD 21014 | 2006-09-20 |
1679582936 | Michelle Montague | Physician Assistant | 2021b Emmorton Rd Ste 210, Bel Air, MD 21015-8972 | 2006-08-05 |
1366927675 | Sau Win | Physician Assistant | 5 Bel Air South Pkwy, Bel Air, MD 21015-6091 | 2018-10-02 |
1679015333 | Dalia Akkad Abaza | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015-6091 | 2016-11-12 |
1437524287 | Pamela Suzanne Moulsdale | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2015-12-04 |
1093184848 | Brigit Yadana Htoon Phillips | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015 | 2015-09-23 |
1720496227 | Ashley L Heisey | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015-6091 | 2014-07-28 |
1467726869 | Jessica Sebastian | Physician Assistant | 1505 E Churchville Rd, Bel Air, MD 21014-4742 | 2012-03-02 |
Find all providers in BEL AIR |
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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.