MARTHA KAY GREEN (NPI# 1134366586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134366586 |
| Entity Type | Individual |
| Full Name | MARTHA KAY GREEN |
| Practice Address |
500 N Washington Ave Ste 105 Titusville FL 32796 |
| Mailing Address |
Po Box 1137 Melbourne FL 32902-1137 |
| Practice Telephone | 2126802673 |
| Practice Fax Number | 3212683357 |
| Mailing Telephone | 3219529696 |
| Mailing Fax Number | 3219527937 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1800302 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 024818900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063273 | Martha Green | Occupational Therapy Assistant | 3453 92nd St Fl 2, Jackson Heights, NY 11372-3741 | 2020-05-01 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| 1356620033 | Martha Fitzsimmons Green | Speech-Language Pathologist | 11535 Carmel Commons Blvd, Charlotte, NC 28226-5313 | 2011-08-11 |
| 1780992438 | Martha Green | Specialist/Technologist | 3802 N 91st Ave, Phoenix, AZ 85037-2368 | 2010-09-15 |
| 1528146545 | Martha Louise Green | Acupuncturist | 2538 Ne Broadway St Ste C, Portland, OR 97232-1872 | 2006-11-01 |
| 1770528770 | Martha G Green | Social Worker | 1105 S College Rd, Ste A, Lafayette, LA 70503 | 2006-06-17 |
| 1043284946 | Martha R Green | Physician Assistant | 9213a University Blvd, Trident Executive Village, North Charleston, SC 29406 | 2006-02-15 |
| Street Address |
500 N WASHINGTON AVE STE 105 |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306882642 | Cindy M Nazario- Matos | Pediatrics | 500 N Washington Ave Ste 105, Titusville, FL 32796-2759 | 2006-06-22 |
| 1003362740 | Cara Bortz | Psychologist | 500 N Washington Ave Ste 105, Titusville, FL 32796-2759 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| Find all providers in zip 32796 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824693 | Michele Hall Howe | Nurse Practitioner | 1427 Ferrier Dr, Titusville, FL 32780-4819 | 2020-05-28 |
| 1225650898 | Mary Rachael Hutchison | Nurse Practitioner | 218 Birch St, Titusville, FL 32780-6621 | 2020-05-17 |
| 1609400662 | Ashleigh Laura David | Nurse Practitioner | 3936 Tanglewood Cir, Titusville, FL 32780-3525 | 2020-02-28 |
| 1962845222 | Pamela Rene Grachis | Nurse Practitioner | 500 N Washington Ave Ste 103, Titusville, FL 32796-2759 | 2013-04-16 |
| 1871132597 | Janis Elaine Oenbrink | Nurse Practitioner | 7455 S Us Highway 1, Titusville, FL 32780-8115 | 2019-12-28 |
| 1700343647 | Shi-lynne Bernard | Nurse Practitioner | 3822 S Washington Ave, Titusville, FL 32780-5845 | 2019-02-27 |
| 1528536174 | Briana Gwaltney | Nurse Practitioner | 2355 Truman Scarborough Way, Titusville, FL 32796-1310 | 2018-11-12 |
| 1841771524 | Kristen Kennedy | Nurse Practitioner | 951 N Washington Ave, Titusville, FL 32796-2163 | 2018-08-22 |
| 1710465315 | Delia Maria Brazzell | Nurse Practitioner | 825 Century Medical Dr Ste A, Titusville, FL 32796-2113 | 2018-08-06 |
| 1760997456 | Ryan Ochalek | Nurse Practitioner | 401 W Spring St, Titusville, PA 16354-2169 | 2017-12-05 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
Please comment or provide details below to improve the information on MARTHA KAY 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.