MIRANDA A GREEN (NPI# 1215541396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215541396 |
| Entity Type | Individual |
| Full Name | MIRANDA A GREEN |
| Practice Address |
4610 X St Sacramento CA 95817-2200 |
| Mailing Address |
6708 Greenleaf Dr Citrus Heights CA 95621-6331 |
| Practice Telephone | 9168167257 |
| Mailing Telephone | 9167709874 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508393430 | Miranda Annette Green | Nurse Practitioner | 323 Steam Plant Rd, Gallatin, TN 37066-3025 | 2017-05-23 |
| 1942751342 | Miranda Green | Dental Hygienist | 165 Miller St, Meriden, CT 06450-4256 | 2016-10-20 |
| Street Address |
4610 X ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225195456 | Sarah Bateni | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2007-01-03 |
| 1629679501 | Josephine Hai | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-11-05 |
| 1083215313 | Andrea G Kulinich | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-11-03 |
| 1730789884 | Jacqueline Ann Williams | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-10-28 |
| 1477151587 | Wendy Yam | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-10-12 |
| 1144828211 | Diego Xavier Torres | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-10-12 |
| 1790392488 | Alicia M Hobbs | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-09-26 |
| 1093321135 | Morgan Kumro | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-09-22 |
| 1609482967 | Ashley Abraham | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-09-21 |
| 1942816202 | Tien Lu | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| 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 |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1811504533 | Joanna Ortega | Student in an Organized Health Care Education/Training Program | 3956 2nd Ave Unit C, Sacramento, CA 95817-3006 | 2020-09-27 |
| 1922615632 | Joshua Bloomstein | Student in an Organized Health Care Education/Training Program | 4610 X St # 6, Sacramento, CA 95817-2200 | 2020-09-26 |
| 1528674892 | Ariela Mascarinas | Student in an Organized Health Care Education/Training Program | 5131 Andrea Blvd Apt 27, Sacramento, CA 95842-2512 | 2020-09-21 |
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1053921569 | Asha Rachel Ellman-kassing | Student in an Organized Health Care Education/Training Program | 3053 Freeport Blvd # 427, Sacramento, CA 95818-4346 | 2020-08-10 |
| 1972113066 | Keely Rodriguez | Student in an Organized Health Care Education/Training Program | 18 Outer Banks Pl, Sacramento, CA 95835-2469 | 2020-08-04 |
| 1639788425 | Duy Nguyen | Student in an Organized Health Care Education/Training Program | 4101 Innovator Dr Apt 626, Sacramento, CA 95834-3861 | 2020-07-28 |
| 1023626314 | Veronica Gabriella Garcia Spandler | Student in an Organized Health Care Education/Training Program | 1510 16th St Apt 513, Sacramento, CA 95814-6041 | 2020-07-22 |
| 1235755620 | Hannah Greeley | Student in an Organized Health Care Education/Training Program | 4851 Kokomo Dr Apt 7523, Sacramento, CA 95835-1846 | 2020-06-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on MIRANDA A 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.