MRS. LATRESHA EVANS GREEN (NPI# 1194101816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194101816 |
Entity Type | Individual |
Full Name | MRS. LATRESHA EVANS GREEN |
Practice Address |
1729 Driftwood Ln Birmingham AL 35235-2981 |
Mailing Address |
Po Box 610114 Birmingham AL 35261-0114 |
Practice Telephone | 2057063012 |
Mailing Telephone | 2057063012 |
Enumeration Date | 2015-08-04 |
Last Update Date | 2015-08-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
Street Address |
1729 DRIFTWOOD LN |
City | BIRMINGHAM |
State | AL |
Zip Code | 35235-2981 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
Find all providers in zip 35235 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982269320 | Shaana Whiteside | Specialist | 33423 Woodward Ave, Birmingham, MI 48009-0907 | 2019-05-01 |
1790253011 | Zephrine L Barnes | Specialist | 3411 Colonnade Pkwy Ste 25, Birmingham, AL 35243-3377 | 2018-11-05 |
1750804092 | Deborah Lanette Alexander | Specialist | 827 Floretine Dr., Birmingham, AL 35215 | 2017-07-19 |
1992234355 | Angela Gray | Specialist | 3941 Amanda Court, Birmingham, AL 35215 | 2017-06-08 |
1669901609 | Alesia Stewart | Specialist | 1924 David Dr Ne, Birmingham, AL 35235-1920 | 2017-06-04 |
1174051593 | Pamela Elizabeth Banks | Specialist | 3700 Fl Shuttlesworth Dr, Birmingham, AL 35207-3044 | 2017-05-30 |
1821531096 | Cynthia D. Thomas | Specialist | 911 44th Pl N, # B, Birmingham, AL 35212-2143 | 2016-11-21 |
1619429685 | Revamped Beauty | Specialist | 2714 Ensley 5 Points W Ave, Birmingham, AL 35218-2853 | 2016-10-26 |
1912316720 | Candice Walker | Specialist | 710 Inverness Cors, Birmingham, AL 35242-3779 | 2014-08-06 |
1669884011 | Delores Johnson | Specialist | 1760-50th Street West, Birmingham, AL 35208 | 2014-05-20 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35235 |
Please comment or provide details below to improve the information on MRS. LATRESHA EVANS 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.