DR. AUSTIN REVVIE GREEN (NPI# 1194254714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194254714 |
| Entity Type | Individual |
| Full Name | DR. AUSTIN REVVIE GREEN |
| Credential | DDS |
| Practice Address |
7911 Woodway Dr Waco TX 76712-3866 |
| Mailing Address |
789 Howard Ave New Haven CT 06519-1304 |
| Practice Telephone | 2547723632 |
| Mailing Telephone | 2036882464 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 789 Howard Ave, New Haven, CT 065191304 | (203) 688-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212502 | Austin Green | Technician/Technologist | 1613 Prairie Dr, Pontiac, MI 48340-1085 | 2019-06-04 |
| 1457980872 | Austin Green | Hearing Instrument Specialist | 833 Frostwood Dr, Houston, TX 77024-4131 | 2020-04-07 |
| 1912402801 | Austin Reid Green | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2018-03-24 |
| Street Address |
7911 WOODWAY DR |
| City | WACO |
| State | TX |
| Zip Code | 76712-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346367612 | D. Michelle Hinds | Dentist | 7911 Woodway Dr, Waco, TX 76712-3866 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881827624 | Jessica Jean Layden | Student in an Organized Health Care Education/Training Program | 1 Bear Pl Unit 97313, Waco, TX 76798-7313 | 2009-08-27 |
| 1609498385 | Marc Levi Johnson | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2020-05-15 |
| 1982230132 | Stephanie Perko | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2020-03-19 |
| 1346807781 | Irfan Shaik | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2019-05-21 |
| 1679032452 | Jack Kelly | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2019-03-19 |
| 1912491705 | Mir Quasim Ali Saad Naseri | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2018-06-15 |
| 1922502780 | Latashua Joseph | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2018-03-19 |
| 1407214844 | Pan Chang | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2016-01-30 |
| 1508281429 | Dawna Campbell | Student in an Organized Health Care Education/Training Program | 1105 Wooded Acres Dr, Suite 545, Waco, TX 76710-4468 | 2014-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688930 | Kourtney Tapnio | Student in an Organized Health Care Education/Training Program | 8215 Summer Breeze Ln, Rosenberg, TX 77469-1846 | 2020-10-27 |
| 1932708666 | Candice Carriere | Student in an Organized Health Care Education/Training Program | 211 Terrace Creek Ct, Richmond, TX 77406-3590 | 2020-10-23 |
| 1922607373 | Benjamin Allen Barrett | Student in an Organized Health Care Education/Training Program | 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 | 2020-10-17 |
| 1538766597 | Billy Derek Huddleston | Student in an Organized Health Care Education/Training Program | 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 | 2020-10-02 |
| 1669089157 | Jacob Dainel Frost | Student in an Organized Health Care Education/Training Program | 1207 N Saint James Rd, Pilot Point, TX 76258-2715 | 2020-09-28 |
| 1821605569 | Madison Bettis | Student in an Organized Health Care Education/Training Program | 16609 Green Maze Ln, Helotes, TX 78023-3441 | 2020-09-27 |
| 1659987899 | Chinwe Nwakaego Dike | Student in an Organized Health Care Education/Training Program | 8023 Bueller Pass Ln, Richmond, TX 77407-1824 | 2020-09-22 |
| 1760098271 | Danielle Mortimer | Student in an Organized Health Care Education/Training Program | 1340 Prudential Dr Ste A, Dallas, TX 75235-4115 | 2020-09-20 |
| 1467067462 | Sami Al-aya | Student in an Organized Health Care Education/Training Program | 7114 Lyons Rd, Garland, TX 75043-6633 | 2020-09-15 |
| 1912512005 | Courtney Yates | Student in an Organized Health Care Education/Training Program | 2920 Northlake Cv, Tyler, TX 75703-7033 | 2020-09-15 |
| 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.