WALTER J. GREEN (NPI# 1144836404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144836404 |
| Entity Type | Individual |
| Full Name | WALTER J. GREEN |
| Practice Address |
1120 Mossy Knoll Dr Cordova TN 38018-6671 |
| Practice Telephone | 9013346363 |
| Mailing Telephone | 9013346363 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376971317 | Walter Craig Green Jr. | Case Manager/Care Coordinator | 259 Bill France Blvd. Suite 200, Daytona Beach, FL 32114 | 2013-10-30 |
| 1447412598 | Walter Russell Green | Durable Medical Equipment & Medical Supplies | 5131 Roosevelt Ave, San Antonio, TX 78214-3219 | 2008-06-30 |
| 1306051073 | Walter Howard Green | Internal Medicine | 16 Fort River Rd, Verona, VA 24482-0951 | 2007-05-14 |
| 1962591487 | Walter Franklin Green IIi | General Practice | 51 North Liberty Street, Harrisburg, VA 22802-3740 | 2006-10-12 |
| 1588106504 | Walter W Green IIi | Chiropractor | 7204 Main St, Ste 200, The Colony, TX 75056 | 2016-11-08 |
| 1922461805 | Walter Green | Student in an Organized Health Care Education/Training Program | 464 Congress Ave, Suite #260, New Haven, CT 06519-1361 | 2016-03-30 |
| 1558751487 | Walter Green IIi | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2015-01-30 |
| 1356357982 | Walter L Green | Emergency Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2006-08-01 |
| Street Address |
1120 MOSSY KNOLL DR |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-6671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646799 | Triscilla D'anne Johnson | Counselor | 152 Timber Creek Dr Ste 4, Cordova, TN 38018-4237 | 2020-07-10 |
| 1467956573 | Jaimie Lee Walker | Counselor | 52 Timber Creek Dr, Cordova, TN 38018-4369 | 2018-03-22 |
| 1922512441 | Fredrick Gillam Jr. | Counselor | 815 Exocet Dr Ste 107, Cordova, TN 38018-2257 | 2017-11-20 |
| 1356776165 | Susan E.c. Powell | Counselor | 705 Second Street, Cordova, AK 99574 | 2013-09-11 |
| 1881950707 | August Geeter | Counselor | 8601 Pantherburn Trce, Cordova, TN 38018-3582 | 2012-04-04 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1780859678 | Septuri Uhurubey | Counselor | 2751 N Rockcreek Pkwy, Cordova, TN 38016-4653 | 2008-04-23 |
| 1598939654 | Katherine Mclean Wilson | Counselor | 110 Timber Creek Dr, Cordova, TN 38018-4279 | 2008-04-18 |
| 1437374824 | John C Sample | Counselor | 23616 157th Ave N, Cordova, IL 61242-9771 | 2007-04-13 |
| 1376609602 | Lawrence Lynn Semrau | Counselor | 800 N Houston Levee Rd, Cordova, TN 38018-6614 | 2006-12-29 |
| Find all providers in CORDOVA | ||||
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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.