MRS. LATRESHA EVANS GREEN


Address: 1729 Driftwood Ln, Birmingham, AL 35235-2981
Phone: 2057063012

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
Other Service Providers

Office Location

Street Address 1729 DRIFTWOOD LN
City BIRMINGHAM
State AL
Zip Code 35235-2981

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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
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BIRMINGHAM
Zip Code 35235

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Dataset Information

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.

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