RICHARD W GREEN (NPI# 1366539728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366539728 |
| Entity Type | Individual |
| Full Name | RICHARD W GREEN |
| Credential | FNP |
| Practice Address |
2996 Kate Bond Rd Suite 405 Bartlett TN 38133-4030 |
| Mailing Address |
Po Box 1000 Dept 19 Memphis TN 38148-0001 |
| Practice Telephone | 9013864423 |
| Practice Fax Number | 9013338056 |
| Mailing Telephone | 9013864423 |
| Mailing Fax Number | 9013338056 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6826 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Woodbridge Rd Ste A, Somerville, TN 380681242 | 9014656353 | 9014655948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774734 | Richard Dennis Green | Dentist | 11980 San Vicente Blvd Ste 600, Los Angeles, CA 90049-6604 | 2018-09-18 |
| 1669710919 | Richard Green | Occupational Therapy Assistant | 1168 Huntington Place Cir, Lithonia, GA 30058-3034 | 2013-01-22 |
| 1083928139 | Richard Charles Green | Massage Therapist | 5526 Nw 29th St, Gainesville, FL 32653-1861 | 2010-07-31 |
| 1801069273 | Richard J. Green | Hearing Instrument Specialist | 1817 N Union Blvd, Suite C, Colorado Springs, CO 80909-2268 | 2008-04-08 |
| 1972723617 | Richard Bernard Green | Counselor | 151 Finch Pl Sw Ste C, Bainbridge Island, WA 98110-2588 | 2007-04-26 |
| 1245379619 | Richard John Green | Dentist | 6300 Democracy Blvd, Bethesda, MD 20817-1664 | 2007-02-05 |
| 1134219041 | Richard Lawrence Green | Chiropractor | 4 Avery St, 4th Floor, Boston, MA 02111-1005 | 2006-10-13 |
| 1447355540 | Richard Green | Radiology | 2203 W 116th Pl, Chicago, IL 60643-4735 | 2006-09-13 |
| 1215049762 | Richard Joseph Green IIi | Family Medicine | 213 Vine St, Johnstown, PA 15901-1518 | 2006-08-31 |
| 1326051376 | Richard Brownlow Green | Dentist | 387 Town Mountain Road, Pikeville, KY 41501-1641 | 2006-08-14 |
| Street Address |
2996 KATE BOND RD SUITE 405 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38133-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602785 | William K Walsh | Internal Medicine | 2996 Kate Bond Rd, Suite 207, Bartlett, TN 38133-4030 | 2005-07-14 |
| 1013573641 | Melissa Jill Jenkins | Specialist/Technologist, Other | 2996 Kate Bond Rd, Bartlett, TN 38133-4030 | 2019-05-20 |
| 1811357809 | Kristin Anne Hutchinson | Pharmacist | 2996 Kate Bond Rd, Suite 100, Bartlett, TN 38133-4030 | 2016-03-03 |
| 1851725162 | East Memphis Anesthesia Services, Pllc | Pain Medicine | 2996 Kate Bond Rd, Suite 203, Bartlett, TN 38133-4030 | 2013-08-23 |
| 1609140011 | Saint Francis Surgical Associates LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2996 Kate Bond Rd, Suite 209, Bartlett, TN 38133-4030 | 2012-03-02 |
| 1508144809 | Trauom LLC | Clinic/Center | 2996 Kate Bond Rd, 307, Bartlett, TN 38133-4030 | 2011-08-03 |
| 1558503912 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2996 Kate Bond Rd, Ste 100 Room A, Bartlett, TN 38133-4030 | 2009-04-01 |
| 1356510838 | Mohamad Jamil Akbik, M.d., P.C. | Surgery | 2996 Kate Bond Rd, Suite 403, Bartlett, TN 38133-4030 | 2008-02-28 |
| 1669671251 | Skaz Holding, Pllc | Specialist | 2996 Kate Bond Rd, Suite 413, Bartlett, TN 38133-4030 | 2007-07-13 |
| 1477764769 | Kira Cooley | Obstetrics & Gynecology | 2996 Kate Bond Rd, Ste 413, Bartlett, TN 38133-4030 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| Find all providers in zip 38133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227128 | Rebecca D Castilo | Nurse Practitioner | 8956 Daisy Ellen Cv, Bartlett, TN 38133-3865 | 2020-08-28 |
| 1053956292 | Deepak Sharma | Nurse Practitioner | 1439 Snow Drift Cir, Bartlett, IL 60103-1572 | 2019-11-12 |
| 1235623380 | Latrice Miller | Nurse Practitioner | 8760 Brunswick Park Cv, Bartlett, TN 38133-2153 | 2018-06-20 |
| 1124529904 | Merkita Lester | Nurse Practitioner | 6111 Maher Trl, Bartlett, TN 38135-9267 | 2018-02-26 |
| 1043724347 | Tina M Hollis | Nurse Practitioner | 2840 Summer Oaks Dr Ste 101, Bartlett, TN 38134-3854 | 2017-11-22 |
| 1528422441 | Elisheva Reese | Nurse Practitioner | 6637 Summer Knoll Cir Ste 101, Bartlett, TN 38134-2875 | 2016-04-06 |
| 1376963041 | Latonya Simone Hardy | Nurse Practitioner | 2747 Bartlett Blvd, Bartlett, TN 38134-4580 | 2014-04-22 |
| 1629413091 | Mordecia Dickenson | Nurse Practitioner | 7865 Educators Ln Ste 110, Bartlett, TN 38133-8191 | 2013-04-30 |
| 1053606350 | Brittany Lenice Smith | Nurse Practitioner | 6637 Summer Knoll Circle Suite 101, Bartlett, TN 38134 | 2011-06-14 |
| 1801191622 | Morgan Craft Smith | Nurse Practitioner | 8099 Stage Hills Blvd Ste 101, Bartlett, TN 38133-4064 | 2011-01-26 |
| Find all providers in BARTLETT | ||||
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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.