ANGELA-THERESA C GREEN (NPI# 1134774045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134774045 |
| Entity Type | Individual |
| Full Name | ANGELA-THERESA C GREEN |
| Credential | APRN |
| Practice Address |
300 Pinellas St Clearwater FL 33756-3804 |
| Mailing Address |
1839 Central Ave St Petersburg FL 33713-8900 |
| Practice Telephone | 7274627000 |
| Mailing Telephone | 7278201040 |
| Mailing Fax Number | 7278217213 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
11003635 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
11003635 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 PINELLAS ST |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750723 | Robert J Rosen | Anesthesiology | 300 Pinellas St, Clearwater, FL 33756-3892 | 2005-06-14 |
| 1184239949 | Kyle Harden | Emergency Medicine | 300 Pinellas St, Clearwater, FL 33756-3892 | 2020-09-09 |
| 1396362992 | Michael Anthony Lake | Pharmacist | 300 Pinellas St, Clearwater, FL 33756-3804 | 2020-06-29 |
| 1457902082 | Alexandra Lee Johnson | Student in an Organized Health Care Education/Training Program | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-09-25 |
| 1215588348 | Sarah Hartney | Registered Nurse | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-09-20 |
| 1225680663 | Kasey Mckenna | Nurse Practitioner | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-07-16 |
| 1972163665 | Megan Marie Donnelly | Nurse Practitioner | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-06-16 |
| 1104480409 | Janie E Martinez | Anesthesiologist Assistant | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-04-23 |
| 1528621976 | Shaunese Nicole Lee | Counselor | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-04-20 |
| 1790245488 | Ashley Leblanc-blachly | Registered Nurse | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629479928 | Margaret Gray | Nurse Practitioner | 2147 Ne Coachman Rd, Clearwater, FL 33765-2616 | 2014-09-06 |
| 1003185505 | Deborah Cook Lauman | Nurse Practitioner | 14128 Spoonbill Ln, Clearwater, FL 33762-4547 | 2011-12-29 |
| 1467681973 | Dorothy Marie Posgai | Nurse Practitioner | 617 Lakeview Rd Ste C, Clearwater, FL 33756-3338 | 2009-07-06 |
| 1306843420 | Nora Arlene Guzik | Nurse Practitioner | 711 S Belcher Rd, Clearwater, FL 33764-6326 | 2005-07-05 |
| 1700412889 | Maja Pranjic | Nurse Practitioner | 1020 Lakeview Rd, Clearwater, FL 33756-3423 | 2020-03-20 |
| 1356990741 | Candace Dyan Dornstauder | Nurse Practitioner | 5771 Roosevelt Blvd, Clearwater, FL 33760-3407 | 2019-09-09 |
| 1518441278 | Christine Lynne Holderman | Nurse Practitioner | 29605 Us Highway 19 N Ste 170, Clearwater, FL 33761-1538 | 2018-09-19 |
| 1609369164 | David C. Reesman | Nurse Practitioner | 711 S Belcher Rd, Clearwater, FL 33764-6326 | 2018-06-10 |
| 1740790633 | Sheila Sagar Md Pa | Nurse Practitioner | 28960 Us Highway 19 N Ste 100, Clearwater, FL 33761-2403 | 2017-10-04 |
| 1548704117 | Anna R Franklin | Nurse Practitioner | 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 | 2016-12-15 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on ANGELA-THERESA C 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.