AMANDA GREENE (NPI# 1265917629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265917629 |
| Entity Type | Individual |
| Full Name | AMANDA GREENE |
| Practice Address |
3377 Riverbend Dr Springfield OR 97477 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 5412222700 |
| Practice Fax Number | 5412222700 |
| Mailing Telephone | 3607291253 |
| Mailing Fax Number | 3607293185 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-D-10194322 | OR | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 1036547 | OR | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 794 Arrow Leaf Pl, Harrisburg, OR 974469684 | 5415259554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1295215028 | Amanda Greene | Occupational Therapy Assistant | 3617 Ohare Drive, Mequite, TX 75150 | 2018-08-21 |
| 1275915928 | Amanda Greene | Anesthesiology | 200 Hawkins Dr, Dept of Anesthesia, Iowa City, IA 52242-1009 | 2015-06-18 |
| 1083040562 | Amanda B Greene | Psychiatry & Neurology | 625 S Pear Orchard Rd, Ste B, Ridgeland, MS 39157-4836 | 2013-09-17 |
| 1124350970 | Amanda Greene | Physical Therapist | 1576 Merritt Blvd, Baltimore, MD 21222-2132 | 2010-02-04 |
| 1437225901 | Amanda Ren'a Greene | Occupational Therapist | 800 Volunteer Dr, Paris, TN 38242-5472 | 2006-11-28 |
| 1538179833 | Amanda R Greene | Nurse Practitioner | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-08-09 |
| Street Address |
3377 RIVERBEND DR |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235991 | Monica Nayan Deshpande | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8800 | 2005-09-20 |
| 1033762901 | Cierra Hibbs-porter-rogge | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2019-07-19 |
| 1427618974 | Dustin Kyle Mckague | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2019-06-17 |
| 1467967265 | Kristen G Lindeman | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2017-12-04 |
| 1003291147 | Lindsey Wilson | Nurse Practitioner | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2015-07-29 |
| 1528447026 | Cecelia Jacobson | Dietitian, Registered | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2015-05-29 |
| 1831578855 | Kimberly Kuo | Internal Medicine | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2015-05-22 |
| 1639562952 | Tok-hui Yeap | Dietitian, Registered | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2015-03-11 |
| 1407254014 | Cathleen Fritz | Physical Therapist | 3377 Riverbend Dr, 3rd Floor Riverbend Pavilion, Springfield, OR 97477-8803 | 2014-12-12 |
| 1467855627 | Ilona Elizabeth Stobaugh | Physical Therapist | 3377 Riverbend Dr, Riverbend Pavilion 3rd Floor, Springfield, OR 97477-8803 | 2014-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
| 1659978641 | Jaimie Lillian Lafferty | Dietitian, Registered | 1033 Lincoln Ave, Springfield, PA 19064-3922 | 2020-10-03 |
| 1023626108 | Samuel Bryan Yarrow | Dietitian, Registered | 960 E Walnut Lawn St Ste 203, Springfield, MO 65807-7865 | 2020-07-15 |
| 1417572579 | Nikki Jupe | Dietitian, Registered | 1928 5th St Apt 27, Springfield, OR 97477-2291 | 2020-06-14 |
| 1205487337 | Mary Digioia | Dietitian, Registered | 66 Industry Ave Ste 9, Springfield, MA 01104-3243 | 2019-09-20 |
| 1144877556 | Lindsey Allison Mcclafferty | Dietitian, Registered | 3252 S Meadowlark Ave, Springfield, MO 65807-8719 | 2019-08-20 |
| 1891357125 | Amy Richter | Dietitian, Registered | 1857 S Hampton Ave, Springfield, MO 65807-2725 | 2019-07-08 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1407322407 | Ruth Kirschner | Dietitian, Registered | 275 Chestnut St Ste 1, Springfield, MA 01104-3498 | 2018-10-17 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on AMANDA GREENE.
| 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.