JENNA BIVINS GREEN (NPI# 1104436765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104436765 |
| Entity Type | Individual |
| Full Name | JENNA BIVINS GREEN |
| Credential | APRN |
| Practice Address |
101 W Showalter Dr Georgetown KY 40324-2081 |
| Mailing Address |
249 Black Water Ln Lexington KY 40511-8872 |
| Practice Telephone | 5028686101 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3014833 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427338417 | Jenna L. Green | Nurse Practitioner | 509 Olive Way Ste 200&900, Seattle, WA 98101-1720 | 2011-08-22 |
| 1609488121 | Jenna Green | Physical Therapist | 100 Dublin Rd, Mankato, MN 56001-8765 | 2020-08-17 |
| 1437524519 | Jenna Green | Nurse Practitioner | 1 Akron General Ave, Akron, OH 44307-2432 | 2015-12-01 |
| 1174907653 | Jenna Alexis Green | Physician Assistant | 170 William St, Lower Manhattan Hospital Surgical Services, New York, NY 10038-2612 | 2015-07-15 |
| 1164811824 | Jenna Green | Physician Assistant | 330 Mount Auburn St, 2nd Floor, Department of Surgery, Cambridge, MA 02138-5502 | 2015-01-20 |
| 1255677928 | Jenna L Green | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2012-12-27 |
| Street Address |
101 W SHOWALTER DR |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801865522 | Maureen Duck Daniels | Nurse Practitioner | 101 W Showalter Dr, Georgetown, KY 40324-2081 | 2006-03-15 |
| 1043821804 | Tayler Whitehead | Nurse Practitioner | 101 W Showalter Dr, Georgetown, KY 40324-2081 | 2020-08-13 |
| 1265998280 | Taffany Norton Amburgey | Nurse Practitioner | 101 W Showalter Dr, Georgetown, KY 40324-2081 | 2019-02-14 |
| 1912320128 | Jessica Lynne Henry | Nurse Practitioner | 101 W Showalter Dr, Georgetown, KY 40324-2081 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672292 | Megan Gresham | Nurse Practitioner | 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 | 2020-09-01 |
| 1922619584 | Shawn Marie Kraus | Nurse Practitioner | 2000 Fm 1460 Apt 7201, Georgetown, TX 78626-4478 | 2020-08-16 |
| 1063022465 | Whitney Elizabeth Bauer | Nurse Practitioner | 112 Mallory Ln, Georgetown, KY 40324-1282 | 2020-07-31 |
| 1891311338 | Abby Hiller | Nurse Practitioner | 313 Square Bnd, Georgetown, TX 78633-4674 | 2020-06-20 |
| 1891311791 | Community Medical Center LLC | Nurse Practitioner | 5300 State Road 64 Ste 101, Georgetown, IN 47122-9178 | 2020-06-17 |
| 1801419213 | Megan Patrick | Nurse Practitioner | 3293 Center Rd, Georgetown, SC 29440-6792 | 2020-05-20 |
| 1962046284 | Christopher Earl Jaisingh | Nurse Practitioner | 1103 Rivery Blvd Ste 145, Georgetown, TX 78628-3034 | 2019-10-30 |
| 1083262059 | Bridget J. Pennell | Nurse Practitioner | 117 Village Blvd, Georgetown, KY 40324-8517 | 2019-09-03 |
| 1366902223 | Leslie Robin Duff | Nurse Practitioner | 1076 Degaris Mill Rd, Georgetown, KY 40324-9724 | 2019-03-25 |
| 1518422047 | Ray of Hope Recoveries Inc | Nurse Practitioner | 104 Canewood Center Dr Ste 3, Georgetown, KY 40324-8043 | 2019-02-08 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
Please comment or provide details below to improve the information on JENNA BIVINS 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.