AMY GREEN (NPI# 1104290295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104290295 |
Entity Type | Individual |
Full Name | AMY GREEN |
Practice Address |
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 |
Mailing Address |
Po Box 375 Cade LA 70519-0375 |
Practice Telephone | 3372789159 |
Mailing Telephone | 3372789159 |
Enumeration Date | 2015-11-30 |
Last Update Date | 2015-11-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN096295 | LA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
1427448117 | Amy Green | Massage Therapist | 1517 Hetzel St, Pittsburgh, PA 15212-3511 | 2015-02-02 |
1790116630 | Amy Green | Social Worker | 1601 Riverside Dr Ste C, Nashville, TN 37216-4000 | 2013-12-03 |
1730400441 | Amy Green | Occupational Therapist | 9289 Plantation Oaks Dr, Olive Branch, MS 38654-6328 | 2010-06-16 |
1871731588 | Amy K Green | Chiropractor | 308 Meadowlark Ln, Fulton, MO 65251-2458 | 2009-02-03 |
1972662526 | Amy Green | Psychiatry & Neurology | 326 Park St, Montclair, NJ 07043-2232 | 2006-12-08 |
1396840831 | Amy Green | Speech-Language Pathologist | 1919 W 12th St, Little Rock, AR 72202-4551 | 2006-09-13 |
1619959889 | Amy A Green | Nurse Anesthetist, Certified Registered | 2010 Brookwood Medical Center Drive, Birmingham, AL 35216 | 2005-11-15 |
1487190781 | Amy Green | Counselor | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2017-01-10 |
1336543818 | Amy Green | Nurse Practitioner | 701 Park Ave, Hennepin County Medical Center Pediatric Clinic, Minneapolis, MN 55415 | 2014-10-13 |
Street Address |
4801 AMBASSADOR CAFFERY PKWY |
City | LAFAYETTE |
State | LA |
Zip Code | 70508-6917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265437438 | Natalie Breaux Blanchard | Nurse Practitioner | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2005-06-15 |
1235744566 | Wound Integrity Louisiana Pmc | Family Medicine | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2020-09-14 |
1487285516 | Emily Nicole Sudduth | Anesthesiology | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2020-01-28 |
1811555121 | James Matthew Miller | Nurse Practitioner | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2019-06-01 |
1710541933 | Morgan Ducote Alpha | Nurse Practitioner | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2019-04-23 |
1801319397 | Chelbie Bell Harris | Occupational Therapist | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2017-07-17 |
1205372364 | Kathryn Collins | Nurse Anesthetist, Certified Registered | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2017-01-13 |
1962959080 | Penelope Levie | Nurse Practitioner | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2016-09-07 |
1144684077 | Rachel Kumar | Hospitalist | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2016-04-06 |
1013393677 | Our Lady of Lourdes Regional Medical Center | Internal Medicine | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2015-08-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
Find all providers in zip 70508 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952915233 | Christi Danielle Carmouche | Nurse Practitioner | 119 Crooked Stick Ln, Lafayette, LA 70506-7539 | 2020-09-03 |
1881204808 | Shavondali Harris Cawthorne | Nurse Practitioner | 945 Bellevue Plantation Rd, Lafayette, LA 70503-6122 | 2020-08-04 |
1386253870 | Millcreek Medical LLC | Nurse Practitioner | 105 Moss Brook Dr, Lafayette, LA 70508-8039 | 2020-07-30 |
1174145759 | Synita Wooten | Nurse Practitioner | 200 Highway 52 Byp E, Lafayette, TN 37083-1353 | 2020-05-18 |
1316567548 | Michelle Cataldo | Nurse Practitioner | 605 Viridian Dr Apt 148, Lafayette, CO 80026-7045 | 2020-04-17 |
1255974515 | Dr. Terrell S Manuel, LLC | Nurse Practitioner | 336 Brightwood Dr, Lafayette, LA 70508-7358 | 2019-10-19 |
1477117562 | Kayley Jon Myers | Nurse Practitioner | 200 Beaullieu Dr Ste 6, Lafayette, LA 70508-7230 | 2019-04-24 |
1003371840 | Brandi Rene Boutte | Nurse Practitioner | 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5705 | 2019-02-06 |
1265912141 | Kathryn Lynn Armentor Boutte | Nurse Practitioner | 4212 W Congress St Ste 3300, Lafayette, LA 70506-6789 | 2018-08-20 |
1801380829 | Sarah Darouse | Nurse Practitioner | 155 Hospital Dr Ste 101, Lafayette, LA 70503-2852 | 2018-06-22 |
Find all providers in LAFAYETTE |
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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.