MISS LATOYHA TAMARA GREEN (NPI# 1255850392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255850392 |
| Entity Type | Individual |
| Full Name | MISS LATOYHA TAMARA GREEN |
| Credential | FNP-C |
| Practice Address |
4310 Hard Scrabble Rd Columbia SC 29229-9423 |
| Practice Telephone | 8038656680 |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21365 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Assembly St, Columbia, SC 29201 | 8032127016 |
| Street Address |
4310 HARD SCRABBLE RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29229-9423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376537738 | Cherell D Holladay | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2005-08-31 |
| 1942819602 | Marissa Hartert | Pharmacist | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2020-07-29 |
| 1467097352 | Samantha Eloise Drew-tackett | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2019-11-14 |
| 1669959839 | Angela Giles | Pharmacist | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2018-07-20 |
| 1730696881 | Wenddy Tso-tidzem | Student in an Organized Health Care Education/Training Program | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2018-01-10 |
| 1548785074 | Ranarda Renee' Reed | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2017-08-05 |
| 1629510862 | Chanelle Jackson | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2016-11-04 |
| 1922408954 | Cvs/pharmacy | Pharmacy | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2014-08-27 |
| 1558792689 | Sandra Jones | Nurse Practitioner | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2013-11-27 |
| 1912255944 | Renee Ann Broome | Pharmacist | 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 | 2012-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| 1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
| 1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
| 1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
| 1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
| 1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
| Find all providers in zip 29229 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
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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.