SUE A GREEN (NPI# 1083993661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083993661 |
| Entity Type | Individual |
| Full Name | SUE A GREEN |
| Credential | FNP |
| Practice Address |
369 E Main St Waterloo NY 13165-1654 |
| Mailing Address |
35 Mason St Suite 214 Geneva NY 14456-1133 |
| Practice Telephone | 3155394025 |
| Mailing Telephone | 3152305646 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F336853 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053738690 | Sue Green | Behavioral Analyst | 9 Lenon Dr, Little Rock, AR 72207-5134 | 2014-03-20 |
| Street Address |
369 E MAIN ST |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861489312 | Andrew B Reese | Family Medicine | 369 E Main St, Waterloo, NY 13165-1654 | 2005-09-30 |
| 1194915389 | Philipp C Wirth | Internal Medicine | 369 E Main St, Waterloo, NY 13165-1654 | 2007-07-25 |
| 1356491229 | Huntington Nursing Home Inc | Skilled Nursing Facility | 369 E Main St, Waterloo, NY 13165-1654 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020297 | Skye Aileen Warren | Nurse Practitioner | 5685 Summerland Dr, Waterloo, IA 50701-9597 | 2020-07-13 |
| 1255980710 | Stephanie Lynn Muertz | Nurse Practitioner | 6461 Old Orchard Ln, Waterloo, IL 62298-2136 | 2019-09-08 |
| 1760942767 | Christina E Lambert | Nurse Practitioner | 437 Alpine Dr, Waterloo, IL 62298-1086 | 2019-03-25 |
| 1235616293 | Nicole Christine Miller | Nurse Practitioner | 21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 | 2018-07-23 |
| 1285129023 | Lindsay Ann Nie | Nurse Practitioner | 2140 Logan Ave, Waterloo, IA 50703-1020 | 2018-06-25 |
| 1376065318 | Nickayla L Giesemann | Nurse Practitioner | 212 W Dale St Ste 101, Waterloo, IA 50703-1900 | 2017-07-12 |
| 1831553908 | Theresa Mcfadin | Nurse Practitioner | 6100 Illini Trl, Waterloo, IL 62298-3547 | 2016-04-05 |
| 1376882647 | Shanna Witges | Nurse Practitioner | 509 Hamacher St Ste 102, Waterloo, IL 62298-1592 | 2013-02-06 |
| 1952640369 | Kimberly Elaine Glasgow | Nurse Practitioner | 1655 E San Marnan Dr Ste H, Waterloo, IA 50702-4378 | 2013-02-05 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| Find all providers in WATERLOO | ||||
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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.