MS. MICHELLE GAIL GREEN (NPI# 1245536697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245536697 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE GAIL GREEN |
| Credential | FNP |
| Practice Address |
5123 4th Avenue Cir E Bradenton FL 34208-5620 |
| Practice Telephone | 9417445510 |
| Practice Fax Number | 9417445166 |
| Mailing Telephone | 9417445510 |
| Mailing Fax Number | 9417445166 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2016-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R121608 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434057 | Michelle Lee Green | Nurse Practitioner | 2264 An County Road 420, Palestine, TX 75803-6517 | 2020-10-14 |
| 1467006601 | Michelle M Green | Custodial Care Facility | 13709 Apollo Way, Rosemount, MN 55068-2171 | 2019-07-25 |
| 1043754641 | Michelle Green | Physician Assistant | 1919 S Wheeling Ave Ste 402, Bernsen Medical Plaza, Tulsa, OK 74104-5633 | 2016-12-15 |
| 1477003168 | Michelle Green | Reflexologist | 7851 E Lee St, Tucson, AZ 85715-5022 | 2016-10-06 |
| 1316315898 | Michelle Lindsay Green | Massage Therapist | 49 W Dravus St, Apt 101, Seattle, WA 98119-1992 | 2015-09-14 |
| 1326485699 | Michelle Lynn Green | Case Manager/Care Coordinator | 705 S Knik Goose Bay Rd, Wasilla, AK 99654-8085 | 2013-05-28 |
| 1366659492 | Michelle L Green | Psychologist | 18-b Lenox Pointe, N.e., Atlanta, GA 30324-3168 | 2007-05-17 |
| 1225654999 | Michelle Green | Pharmacist | 2710 Salem Ave, Dayton, OH 45406-2730 | 2020-06-18 |
| 1659900140 | Michelle Lear Green | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2020-04-06 |
| 1841834728 | Michelle Kho Green | Pharmacist | 2855 Jordan Ct, Alpharetta, GA 30004-3869 | 2019-11-04 |
| Street Address |
5123 4TH AVENUE CIR E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988635 | Andrew Robert Clark | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2005-11-09 |
| 1992356620 | Alexis Taylor Golemo | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2019-09-24 |
| 1073035622 | Sabrina D Baker | Nurse Practitioner | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2017-07-14 |
| 1962943746 | Joseph Haider | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2017-03-14 |
| 1336562313 | Cassandra Hafner | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2014-01-28 |
| 1578862447 | James Michael Pineno | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2011-03-17 |
| 1841447364 | Natalie Elizabeth Borg | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2008-08-27 |
| 1770565467 | Christopher M Cooper | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2005-11-17 |
| 1558343244 | Catherine M Cooper | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1568002459 | South Florida Injury and Convenient Care | Nurse Practitioner | 2601 Manatee Ave W Ste E, Bradenton, FL 34205-4942 | 2020-01-09 |
| 1033758917 | Brooke Ariel Talbert | Nurse Practitioner | 1803 5th St W, Bradenton, FL 34205-8303 | 2019-12-25 |
| 1912550476 | Vilma Rodriguez | Nurse Practitioner | 1200 37th Ave E, Bradenton, FL 34208-4553 | 2019-07-23 |
| 1366008930 | Mary Janell Hostetler | Nurse Practitioner | 11611 Brookside Dr, Bradenton, FL 34211-4525 | 2019-05-19 |
| 1144886177 | Jewel Tartt | Nurse Practitioner | 1001 13th Avenue East, Medical Department, Bradenton, FL 34208-3420 | 2019-05-15 |
| 1336607522 | Katrina Onyx Wilson | Nurse Practitioner | 304 74th Street Ct Nw, Bradenton, FL 34209-2220 | 2019-03-06 |
| 1184193047 | Mary Kathleen Dufek | Nurse Practitioner | 8610 State Road 70 E, Bradenton, FL 34202-3785 | 2018-11-20 |
| 1255840922 | Megan Fallon | Nurse Practitioner | 250 2nd St E Ste 3b, Bradenton, FL 34208-1027 | 2017-09-26 |
| 1639604556 | Jodie Lynn Dodge | Nurse Practitioner | 8614 State Road 70 E Ste 200, Bradenton, FL 34202-3710 | 2017-04-28 |
| Find all providers in BRADENTON | ||||
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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.