AMANDA GREEN (NPI# 1285935965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285935965 |
| Entity Type | Individual |
| Full Name | AMANDA GREEN |
| Practice Address |
529 E Main St Bridgeport WV 26330-1824 |
| Practice Telephone | 3048424204 |
| Practice Fax Number | 3048426480 |
| Mailing Telephone | 3048424204 |
| Mailing Fax Number | 3048426480 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2013-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1205381290 | Amanda Green | Marriage & Family Therapist | 1885 S Arlington Ave Ste 201, Reno, NV 89509-3377 | 2016-08-18 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1528478443 | Amanda Green | Psychologist | 207 Briggs Dr, Easley, SC 29642-1803 | 2014-04-30 |
| 1396168084 | Amanda Green | Occupational Therapy Assistant | 10 Notch Rd, Adams, MA 01220-1012 | 2014-01-30 |
| 1740529684 | Amanda Green | Pharmacist | 212 Liberty St # 214, Warren, PA 16365-2347 | 2013-02-13 |
| 1588783344 | Amanda Spivey Green | Dentist | 1463 E Main St, Spartanburg, SC 29307-2246 | 2007-03-29 |
| 1578162624 | Amanda Rose Green | Physician Assistant | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2020-10-20 |
| 1477101418 | Amanda Marie Green | Occupational Therapist | 9957 Allisonville Rd, Fishers, IN 46038-2006 | 2019-09-03 |
| 1457905697 | Amanda Marie Green | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-25 |
| Street Address |
529 E MAIN ST |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891732962 | Michael W Mason | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2006-05-31 |
| 1477082048 | Chad Michael Porter | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2017-06-07 |
| 1992016729 | Kristen A Rice | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-06-26 |
| 1184942807 | Susan Dipetta | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-05-05 |
| 1508188822 | Craig Patrick Kelley | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-03-01 |
| 1033444880 | Jaime K Sipher | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2009-10-13 |
| 1619107687 | Courtnie Danielle Spencer | Specialist | 529 E Main St, Bridgeport, WV 26330-1824 | 2009-07-23 |
| 1013155217 | Linda Ann Mccullough | Specialist | 529 E Main St, Bridgeport, WV 26330-1824 | 2009-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623663 | Robert Lee Ware IIi | Massage Therapist | 1210 Halsell St Ste B, Bridgeport, TX 76426-3151 | 2019-11-14 |
| 1811485840 | Patricia Duncan Chabaud | Massage Therapist | 402 Jefferson St, Bridgeport, PA 19405-1512 | 2018-04-25 |
| 1881733756 | Brian W Ahern | Massage Therapist | 423 Jennings Ave, Bridgeport, CT 06610-1107 | 2007-02-06 |
| 1366831927 | Jo Ellen Singleton | Massage Therapist | 65 Professional Pl Ste 101, Bridgeport, WV 26330-1889 | 2015-01-20 |
| 1801106646 | Melissa Lynn Rosenberger | Massage Therapist | 135 State St, Bridgeport, WV 26330-1375 | 2010-10-14 |
| 1992016729 | Kristen A Rice | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2010-06-26 |
| 1033444880 | Jaime K Sipher | Massage Therapist | 529 E Main St, Bridgeport, WV 26330-1824 | 2009-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549209 | Sharon Tickle | Massage Therapist | 1987 Old Princeton Rd, Bluefield, WV 24701-8049 | 2020-08-20 |
| 1912523630 | Rachel Fronck | Massage Therapist | 1636 Rock Cliff Dr, Martinsburg, WV 25401-3274 | 2020-06-18 |
| 1326669987 | Gorgeworks Massage & Fitness, LLC | Massage Therapist | 325 Jones Avenue, Oak Hill, WV 25901-2908 | 2020-05-05 |
| 1669005674 | Dawn Fasig | Massage Therapist | 11 Commerce Dr Ste 100, Morgantown, WV 26501-3858 | 2020-02-18 |
| 1629609227 | Evelyn Garcia | Massage Therapist | 110 Congress St, Berkeley Springs, WV 25411-1510 | 2020-02-01 |
| 1609407279 | Marissa Ann Mitchell | Massage Therapist | 1991 Stadium Dr, Bluefield, WV 24701-3324 | 2020-01-31 |
| 1700417367 | Curran Adler Johnston | Massage Therapist | 1008 Winchester Ave, Martinsburg, WV 25401-1764 | 2020-01-31 |
| 1033754593 | Chrissy Runk | Massage Therapist | 340 Mount Nebo Rd, Buckhannon, WV 26201-6814 | 2019-11-08 |
| 1962045815 | Jeanette Danielle Davis | Massage Therapist | 415 1/2 D St Ste 3, South Charleston, WV 25303-3114 | 2019-10-23 |
| 1215570601 | Mark Halcombe | Massage Therapist | 1208 Trenol Rd., Milton, WV 25541 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on AMANDA GREEN.
| 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.