MRS. SHAUNA CAROLE GREEN (NPI# 1245470780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245470780 |
| Entity Type | Individual |
| Full Name | MRS. SHAUNA CAROLE GREEN |
| Practice Address |
122 E 23rd St New York NY 10010-4516 |
| Mailing Address |
13415 134th Ave South Ozone Park NY 11420-3516 |
| Practice Telephone | 2129799700 |
| Mailing Telephone | 3474315844 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 291907091 | NY | Other Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 291907091 | NY | Student, Health Care |
| Street Address |
122 E 23RD ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306809744 | Dara P Richardson | Internal Medicine | 122 E 23rd St, New York, NY 10010-4516 | 2006-04-07 |
| 1184036618 | Joelle Candace Laurenceau | Registered Nurse | 122 E 23rd St, United Cerebral Palsy Medical Clinic, New York, NY 10010-4516 | 2014-06-02 |
| 1942557798 | Mary Beth Kettyle | Registered Nurse | 122 E 23rd St, New York, NY 10010-4516 | 2012-08-11 |
| 1083986863 | Tuwain Pinky Kolleh | Registered Nurse | 122 E 23rd St, New York, NY 10010-4516 | 2012-02-08 |
| 1871885822 | Jillian Aguis | Psychologist | 122 E 23rd St, New York, NY 10010-4516 | 2011-05-10 |
| 1932420205 | Lisa Gail Wigutow | Occupational Therapist | 122 E 23rd St, Ucp of Nyc, New York, NY 10010-4516 | 2010-06-21 |
| 1053634667 | Deborah B. Inman | Registered Nurse | 122 E 23rd St, New York, NY 10010-4516 | 2010-03-10 |
| 1225364904 | Lisa Jean-francois | Registered Nurse | 122 E 23rd St, New York, NY 10010-4516 | 2009-10-30 |
| 1922334358 | United Cerebral Palsy | Day Training, Developmentally Disabled Services | 122 E 23rd St, New York, NY 10010-4516 | 2009-10-20 |
| 1194963207 | Ma.victoria Castaneda Juanito | Day Training, Developmentally Disabled Services | 122 E 23rd St, New York, NY 10010-4516 | 2009-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502768 | Ayodeji Grace Oloke | Counselor | 1133 Broadway, Suite 640, New York, NY 10010 | 2020-09-08 |
| 1619589553 | Christine Belanga | Student in an Organized Health Care Education/Training Program | 71 West 23rd St, Suite 1400, New York, NY 10010 | 2020-08-21 |
| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
| 1134789084 | Auth Acupuncture Pllc | Acupuncturist | 20 W.22nd St. Ground Floor, New York, NY 10010 | 2019-06-13 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
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| 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 |
|---|---|---|---|---|
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
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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.