KAITLYN ROSE GREEN (NPI# 1073009353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073009353 |
| Entity Type | Individual |
| Full Name | KAITLYN ROSE GREEN |
| Credential | PA |
| Practice Address |
560 Village Blvd Suite #150 West Palm Beach FL 33409 |
| Mailing Address |
560 Village Blvd Suit #150 West Palm Beach FL 33409 |
| Practice Telephone | 5613318800 |
| Mailing Telephone | 5613318800 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9111136 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279620 | Kaitlyn Green | Behavior Technician | 1166 S Gilbert Rd, Suite 106, Gilbert, AZ 85296-3460 | 2019-11-08 |
| 1083133342 | Kaitlyn Elizabeth Green | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2017-09-18 |
| 1710402664 | Kaitlyn Green | Physical Therapist | 748 N Earl Rudder Fwy, Bryan, TX 77802-2914 | 2017-08-11 |
| 1003214792 | Kaitlyn Marie Green | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 | 2014-12-11 |
| Street Address |
560 VILLAGE BLVD SUITE #150 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
| 1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
| 1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
| 1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
| 1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
| 1952899312 | Renand Dolmeus Sr. | Assistant Behavior Analyst | 1818 South Australian Ave., Suite 420, West Palm Beach, FL 33409 | 2018-05-01 |
| Find all providers in zip 33409 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326512617 | Fleura Cenatus | Physician Assistant | 1917 N Haverhill Rd Apt 1, West Palm Beach, FL 33417-4692 | 2019-01-19 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1780187716 | Punam Gopal | Physician Assistant | 3507 Broadway, West Palm Beach, FL 33407-4841 | 2018-03-15 |
| 1932555323 | Zoilemma Acosta | Physician Assistant | 4232 Colt Ln, West Palm Beach, FL 33406-2936 | 2016-05-04 |
| 1528436649 | Farah Alli | Physician Assistant | 2007 Palm Bch Lk Blvd, West Palm Beach, FL 33409-6501 | 2015-09-05 |
| 1811238272 | Gioconda Alicia Boaz | Physician Assistant | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 | 2013-03-11 |
| 1932452158 | Joseph Radich | Physician Assistant | 1411 N Flagler Dr Ste 9000, West Palm Beach, FL 33401-3421 | 2012-10-25 |
| 1023380599 | Neesha R Patel | Physician Assistant | 2047 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL 33409-6500 | 2012-01-31 |
| 1255578761 | Bristol Dominguez | Physician Assistant | 717 Mcintosh St, West Palm Beach, FL 33405-3145 | 2009-01-21 |
| 1093858771 | Bradley Scott Burdette I | Physician Assistant | 7240 7th Pl N, West Palm Beach, FL 33411-3801 | 2007-02-14 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33409 |
Please comment or provide details below to improve the information on KAITLYN ROSE GREEN.
| 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.