NICOLE E GREEN


Address: 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324
Phone: 4436431500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
C0007198 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers NICOLE GREEN

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

Office Location

Street Address 500 UPPER CHESAPEAKE DR
City BEL AIR
State MD
Zip Code 21014-4324

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BEL AIR
Zip Code 21014

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Dataset Information

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.

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