MRS. KATHY GREEN (NPI# 1295287639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295287639 |
| Entity Type | Individual |
| Full Name | MRS. KATHY GREEN |
| Credential | MSN, FNP-BC |
| Practice Address |
5424 Discovery Park Boulevard Bldg. B Suite 204 Williamsburg VA 23188 |
| Mailing Address |
860 Omni Blvd Ste 303 Newport News VA 23606-4477 |
| Practice Telephone | 7577073508 |
| Mailing Telephone | 7572328769 |
| Mailing Fax Number | 7572328875 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174126 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE MEDICAL LICENSE | 0024174126 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5700 Williamsburg Landing Dr, Williamsburg, VA 231853779 | 7575656505 | 7575656526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129078 | Kathy Lynn Green | In Home Supportive Care | 2261 Pinebrook Rd, Columbus, OH 43220-4327 | 2020-09-16 |
| 1487806733 | Kathy M Green | Licensed Practical Nurse | 35311 Greenwich Ave, North Ridgeville, OH 44039-1385 | 2008-10-17 |
| 1306824784 | Kathy E Green | Nurse Practitioner | 80 State St # 310, Canton, NY 13617-1026 | 2006-01-05 |
| 1588936488 | Kathy D. Green | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2012-02-08 |
| 1053464065 | Kathy J. Green | Family Medicine | 4586 E Highway 20, Suite B, Niceville, FL 32578-9724 | 2007-01-21 |
| Street Address |
5424 DISCOVERY PARK BOULEVARD BLDG. B SUITE 204 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659574309 | Karen Lynn Knudsen | Internal Medicine | 5424 Discovery Park Boulevard, Bldg B Ste 201, Williamsburg, VA 23188 | 2007-06-08 |
| 1265764310 | Jody B Lyle | Nurse Anesthetist, Certified Registered | 5424 Discovery Park Boulevard, Bldg. A, Suite 101, Williamsburg, VA 23188 | 2010-01-31 |
| 1952590408 | Frances Jo-ellen Jones | Internal Medicine | 5424 Discovery Park Boulevard, Bldg B Suite 104, Williamsburg, VA 23188 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1689286346 | Jamie Butt | Nurse Practitioner | 4175 Ironbound Rd, Williamsburg, VA 23188-2944 | 2020-08-23 |
| 1477187557 | Yvette Dawn Grijalva | Nurse Practitioner | 811 Schooner Blvd, Williamsburg, VA 23185-5297 | 2020-02-27 |
| 1164068250 | Kelly Ann Riley | Nurse Practitioner | 120 Kings Way Ste 3100, Williamsburg, VA 23185-2506 | 2019-11-23 |
| 1083261937 | Lola A Meadors | Nurse Practitioner | 65 N Highway 25 W, Williamsburg, KY 40769-1540 | 2019-08-23 |
| 1396204319 | Shannon Leigh Dishman | Nurse Practitioner | 457 Mclaws Cir Ste 1, Williamsburg, VA 23185-5645 | 2019-03-19 |
| 1174930994 | Nancy Jallo | Nurse Practitioner | 604 Dam Lake Ct, Williamsburg, VA 23185-2796 | 2014-07-14 |
| 1669891966 | Jill L Bryant Aprn LLC | Nurse Practitioner | 406 N Highway 25 W, Williamsburg, KY 40769-1545 | 2014-04-15 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| 1154301968 | Janet Gibson | Nurse Practitioner | 1600 Richmond Rd, Williamsburg, VA 23185-2724 | 2006-01-18 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
Please comment or provide details below to improve the information on MRS. KATHY 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.