MS. TERESA GREEN (NPI# 1144557810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144557810 |
| Entity Type | Individual |
| Full Name | MS. TERESA GREEN |
| Credential | LPN |
| Practice Address |
151 N Main St Decatur IL 62523-1206 |
| Mailing Address |
151 N Main Decatur IL 62523 |
| Practice Telephone | 2173626262 |
| Mailing Telephone | 2173626262 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | T370765549 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790026045 | Teresa Michele Green | Occupational Therapist | 301 Monticello Mews Apt 208, Hampton, VA 23666-2786 | 2013-03-12 |
| 1104154293 | Teresa Diane Green | Homemaker | 415 W Gladys St, Sikeston, MO 63801-2733 | 2009-11-30 |
| 1043466006 | Teresa Green | Counselor | 10208 Buckmeadow Ln, Damascus, MD 20872-2925 | 2008-08-11 |
| 1255395661 | Teresa A Green | Chiropractor | 2004 Bremo Rd Ste 101, Richmond, VA 23226-2442 | 2006-04-13 |
| 1295700425 | Teresa Deshawn Green | Physician Assistant | 1020 Forrest Avenue, Suite 1, Dover, DE 19946 | 2006-02-21 |
| 1922642917 | Teresa Miriam Green | Counselor | 8831 Venice Blvd, Los Angeles, CA 90034-3223 | 2019-11-01 |
| 1669841268 | Teresa Green | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-24 |
| 1609275692 | Teresa Starr Green | Social Worker | 6117 Broad St, Pittsburgh, PA 15206-3011 | 2014-08-15 |
| 1427247261 | Teresa Green | Social Worker | 1125 New Jersey Ave Nw, Washington, DC 20001-1365 | 2007-10-17 |
| 1629299425 | Teresa Ann Green | Social Worker | 1424 E 11 Mile Rd, Royal Oak, MI 48067-2026 | 2007-05-01 |
| Street Address |
151 N MAIN ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62523-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029361 | Heritage Behavioral Health Cent Opt | Clinic/Center | 151 N Main St, Decatur, IL 62523-1206 | 2020-09-30 |
| 1881217206 | William Jihan | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1053934471 | Jasmine M Kaylor | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1891318218 | Andrea L Mccoy | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1366065989 | Lindsay M Orlowski | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-19 |
| 1578186185 | Whitley B Hofer | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-19 |
| 1760003586 | Megan R Markwell | Registered Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-04 |
| 1316568132 | Erin Taylor | Registered Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-04 |
| 1902427982 | Latasha L Patton | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1710508692 | Tayler J Dance | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1093091597 | Leesa K Reed | Social Worker | 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 | 2011-10-27 |
| 1407001357 | Pamela Sue Waterman | Counselor | 720 E. Wood St., Decatur, IL 62523 | 2008-11-19 |
| 1639231731 | Heritage Behavioral Health Center Inc. | Clinic/Center | 151 N Main Street, Decatur, IL 62523 | 2006-12-14 |
| 1669561080 | Diane S Pleasant | Counselor | 335 E Wood St Ste B, Decatur, IL 62523 | 2006-10-12 |
| 1376642470 | Gudrun Birgitta Armentrout | Marriage & Family Therapist | 247 West Prairie, Catholics Charities, Decatur, IL 62523 | 2006-09-22 |
| 1871117887 | Restore Wellness Counseling LLC | Social Worker | 106 North Main Street, Decatur, IL 62523 | 2020-06-04 |
| 1275004186 | Stephanie Maurer | Physician Assistant | 320 Central Ave, Decatur, IL 62523 | 2018-12-17 |
| 1669673620 | Decatur Public School Dist. #61 | Local Education Agency (LEA) | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2007-05-29 |
| 1295246320 | Barbara A Nadler | Speech-Language Pathologist | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2017-10-16 |
| Find all providers in zip 62523 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1992977615 | Children's Dental Care Center, PC | Clinic/Center | 5000 Snapfinger Woods Dr, Suite B-210, Decatur, GA 30035-4085 | 2008-04-02 |
| 1023028016 | Spavinaw Clinics, Inc | Clinic/Center | 346 N. Main Street, Decatur, AR 72722-0735 | 2006-08-09 |
| 1669471728 | Atlanta Center for Medicine II PC | Clinic/Center | 2801 N Decatur Rd, Suite 300, Decatur, GA 30033-5949 | 2005-07-20 |
| 1033752571 | Premier Cardiology Care Pllc | Clinic/Center | 2301 S Fm 51 Ste 400, Decatur, TX 76234-3864 | 2019-10-28 |
| 1083180731 | Occupational Health Centers of Georgia, P.C. | Clinic/Center | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2018-10-21 |
| 1063988715 | American Currenct Care P.a. | Clinic/Center | 1045 Sycamore Dr, Decatur, GA 30030-1645 | 2018-10-21 |
| 1982129326 | Dogwood Healing Arts | Clinic/Center | 619 E College Ave Ste B, Decatur, GA 30030-5323 | 2017-08-07 |
| 1689072548 | Mcog Imaging Center | Clinic/Center | 1670 Scott Blvd, Decatur, GA 30033-5605 | 2014-12-09 |
| 1144637075 | Planned Parenthood of Illinois | Clinic/Center | 3021 N Oakland Ave, Decatur, IL 62526-1607 | 2014-07-11 |
| Find all providers in DECATUR | ||||
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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.