DR. LISA MARIE GREEN (NPI# 1265605513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265605513 |
| Entity Type | Individual |
| Full Name | DR. LISA MARIE GREEN |
| Credential | MD |
| Practice Address |
4313 State Ave Kansas City KS 66102-3734 |
| Mailing Address |
2401 Gillham Rd Provider Enrollment Kansas City MO 64108-4619 |
| Practice Telephone | 9132334400 |
| Practice Fax Number | 9132870132 |
| Mailing Telephone | 8167015200 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2016-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 04-35777 | KS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2007013995 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869529 | Lisa A Green | Nurse Practitioner | 50 Township Line Rd Bldg Suiteg01, Elkins Park, PA 19027-2249 | 2018-01-25 |
| 1316966047 | Lisa S. Green | Optometrist | 1180 N Court St Ste F, Circleville, OH 43113-1397 | 2006-07-19 |
| 1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
| 1558349654 | Lisa Ann Green | Chiropractor | 1304 N University Dr, Coral Springs, FL 33071-6623 | 2006-01-09 |
| 1326678723 | Lisa Green | Case Management | 700 Cottage Brook Ln, Webster, NY 14580-8654 | 2020-01-24 |
| 1033779467 | Lisa H Green | Registered Nurse | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2019-06-18 |
| 1558830596 | Lisa Green | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-11-20 |
| 1043795628 | Lisa Michelle Green | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-28 |
| 1306355797 | Lisa Diane Green | Nurse Practitioner | 650 W Lincoln Trail Blvd, Radcliff, KY 40160-2681 | 2017-09-28 |
| 1043739485 | Lisa Kay Green | Case Manager/Care Coordinator | 110 N Bailey Ave, North Platte, NE 69101-5436 | 2017-09-18 |
| Street Address |
4313 STATE AVE |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66102-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922159656 | Harriett Currie Navarre | Nurse Practitioner | 4313 State Ave, Kansas City, KS 66102-3734 | 2007-01-16 |
| 1982017448 | Morgen Govindan | Pediatrics | 4313 State Ave, Kansas City, KS 66102 | 2014-06-03 |
| 1326276791 | Sonder Michele Smith Crane | Pediatrics | 4313 State Ave, Kansas City, KS 66102-3734 | 2009-06-24 |
| 1871754374 | Jennifer Diane Ellzey | Pediatrics | 4313 State Ave, Kansas City, KS 66102-3734 | 2008-06-18 |
| 1851580724 | Childrens Mercy Hospital | Pharmacy | 4313 State Ave, Kansas City, KS 66102-3734 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221303 | Thrive Restorative Services | Social Worker | 1911 North 62nd Street, Kansas City, KS 66102 | 2020-09-30 |
| 1962904680 | Robyn Smith | Nurse's Aide | 1711 N 58th Street, Kansas City, KS 66102 | 2018-03-08 |
| 1427564756 | Kimberly Lartey Hardeman | Midwife, Lay | 4705 Nebraska Avenue, Kansas City, KS 66102 | 2017-12-22 |
| 1396116117 | 47th Street Dental Center, LLC | Dentist | 4301 State Ave Bldg A, Kansas City, KS 66102 | 2015-10-20 |
| 1336550763 | Carlie Thomas | Case Manager/Care Coordinator | 417 North 17th Street, Kansas City, KS 66102 | 2014-05-20 |
| 1053619932 | Karla Christine Wright | Speech-Language Pathologist | 4911 State Ave/, Kansas City, KS 66102 | 2011-03-02 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1255513040 | Maureen Liddiard | Social Worker | 1223 Meadowlark Lane, Kansas City, KS 66102 | 2007-12-04 |
| 1841499175 | Lori Ann Erwin | Counselor | 1333 Meadowlark Lane, Suite 205 Tfi Family Services Behavioral Health, Kansas City, KS 66102 | 2007-07-17 |
| 1669679023 | Lynn Alan Barrett | Marriage & Family Therapist | 1301 N. 47th, Kansas City, KS 66102 | 2007-06-29 |
| Find all providers in zip 66102 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780430 | Jane Reardon | Pediatrics | 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 | 2019-06-26 |
| 1326548579 | Clarissa Ryan Gillen | Pediatrics | 9140 Ward Pkwy Ste 201, Kansas City, MO 64114-3327 | 2018-02-14 |
| 1306363858 | Children's Mercy - Redwood Pediatrics | Pediatrics | 9151 Ne 81st St, Suite 240, Kansas City, MO 64158-1307 | 2017-08-25 |
| 1811438013 | Lauren Hughes | Pediatrics | 2870 W 47th Ave, Kansas City, KS 66103-3243 | 2017-03-20 |
| 1033592795 | Kubra Melike Bozkanat | Pediatrics | University of Kansas Hospital Pediatrics, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160-0001 | 2015-06-30 |
| 1821417965 | Angela Kay Linz | Pediatrics | 4400 Broadway Ste 206, Kansas City, MO 64111-3342 | 2014-04-15 |
| 1669890620 | Michelle Marie Knoll | Pediatrics | 3101 Broadway Blvd Ste 900, Kansas City, MO 64111 | 2014-04-06 |
| 1477971141 | Michael Bradley Nelson | Pediatrics | 2000 Olathe # 3b, Kansas City, KS 66160-2620 | 2014-03-31 |
| 1104243245 | Kelstan Lynch Ellis | Pediatrics | University of Kansas Pediatrics Residency, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160 | 2014-03-26 |
| 1215374244 | Jennifer Isham | Pediatrics | 1004 Carondelet Dr Ste 310, Kansas City, MO 64114-4801 | 2013-05-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66102 |
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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.