NICOLE GREEN (NPI# 1174144273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174144273 |
| Entity Type | Individual |
| Full Name | NICOLE GREEN |
| Credential | RPH |
| Practice Address |
333 N Green Bay Rd Neenah WI 54956-1954 |
| Mailing Address |
1926 Wasilla Ln Neenah WI 54956-9426 |
| Practice Telephone | 9202777200 |
| Mailing Telephone | 9202777200 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
17808-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926618 | Nicole Camille Green | Counselor | 33 Arthur Ave Apt 20, East Providence, RI 02914-4020 | 2020-09-10 |
| 1902259328 | Nicole Green | Contractor | 2985 Juniper Hills Blvd Unit 202, Las Vegas, NV 89142-2961 | 2016-07-20 |
| 1548638869 | Nicole Hoff Green | Nurse Practitioner | 2989 Caledonia St, Marianna, FL 32446-3005 | 2015-09-02 |
| 1083002430 | Nicole Renee Green | Veterinarian | 14370 Parallel Rd, Basehor, KS 66007-3004 | 2015-01-07 |
| 1891115531 | Nicole Cara Green | Counselor | 9950 Sw Landau Pl, Tigard, OR 97223-1013 | 2014-04-21 |
| 1740893478 | Nicole Dawn Green | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-08-24 |
| 1053873786 | Nicole E Green | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2019-04-02 |
| 1932628880 | Nicole A Green | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2017-09-12 |
| 1043736101 | Nicole Rene Green | Occupational Therapist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2017-08-20 |
| 1508399684 | Nicole Green | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Place, University of Colorado School of Medicine Gme, Aurora, CO 80045-2581 | 2017-04-06 |
| Street Address |
333 N GREEN BAY RD |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939325 | Curtis Coulter Baltz | Internal Medicine | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2005-08-16 |
| 1952827008 | Amanda C Janosik | Nurse Practitioner | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2017-08-21 |
| 1992250336 | Venkata Udayagiri | Family Medicine | 333 N Green Bay Rd, Neenah, WI 54956 | 2016-08-15 |
| 1225477722 | Sara J Zuiches | Physician Assistant | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2013-06-18 |
| 1063407930 | Kristin J Ovadal | Physician Assistant | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2005-09-15 |
| 1952396368 | Jennifer A Norden | Internal Medicine | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1942765086 | Brenda Wellner | Pharmacist | 1120 Hwy 67, Kiel, WI 53042-1630 | 2019-02-03 |
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1023530490 | Tahir Vora | Pharmacist | 6840 Middle Rd Apt 8, Racine, WI 53402 | 2017-07-07 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1306445838 | Kathleen Mary Lind | Pharmacist | 810 S Irish Rd, Chilton, WI 53014-1773 | 2020-10-26 |
| 1376142919 | Shelby Lynn Gomez | Pharmacist | 3185 Deming Way, Middleton, WI 53562-1435 | 2020-10-24 |
| 1750989463 | Steven Almeida | Pharmacist | 810 S Irish Rd, Chilton, WI 53014-1773 | 2020-10-14 |
| 1063010015 | Katherine Lee Salsbery | Pharmacist | 3705 Tower Ave, Superior, WI 54880-5338 | 2020-10-13 |
| 1184238172 | Julia Grace Gilbertson | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
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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.