MR. RANDY DEE GREEN (NPI# 1376088245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376088245 |
| Entity Type | Individual |
| Full Name | MR. RANDY DEE GREEN |
| Credential | CP00006118 |
| Practice Address |
321 W 1st Ave Toppenish WA 98948-1527 |
| Practice Telephone | 5098655233 |
| Practice Fax Number | 5098656505 |
| Mailing Telephone | 5098655233 |
| Mailing Fax Number | 5098656505 |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP-00006118 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881836120 | Randy W. Green | Psychologist | 7 Valdemar Rd, Hopewell Junction, NY 12533-6127 | 2009-04-01 |
| 1336266675 | Randy D Green | Dentist | 2201 Veterans Blvd., Suite 408, Metairie, LA 70002 | 2007-03-23 |
| 1053763102 | Randy Green | Counselor | 410 S Franklin St, Bastrop, LA 71220 | 2016-07-12 |
| 1689804320 | Randy Dale Green | Counselor | 1101 W 3rd St, Fordyce, AR 71742-3014 | 2009-07-15 |
| 1275701930 | Randy P Green | Counselor | 10525 State Ave, Suite 9, Marysville, WA 98271 | 2008-02-15 |
| 1003886011 | Randy A Green | Physical Therapist | 101 Bodin Cir, 60 Mdg/sgoy, Travis Afb, CA 94535-1809 | 2006-01-23 |
| Street Address |
321 W 1ST AVE |
| City | TOPPENISH |
| State | WA |
| Zip Code | 98948-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649316316 | The Valley Alcohol Council | Counselor | 321 W 1st Ave, Toppenish, WA 98948-1527 | 2007-01-30 |
| 1053856021 | Jessica D Jay | Counselor | 321 W 1st Ave, Toppenish, WA 98948-1527 | 2016-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436930 | Rozita Zandkargar | Pharmacist | 401 Fort Rd, Toppenish, WA 98948 | 2020-08-06 |
| 1558828632 | Jeffrey Wade Sylte | Physician Assistant | Heritage University, 3240 Fort Road, Toppenish, WA 98948 | 2019-02-26 |
| 1184188856 | Adriana Andrea Moncada | Counselor | 20 Gunnyon Road, Toppenish, WA 98948 | 2019-01-28 |
| 1285117101 | Joe Lorenzana | Counselor | 501 West 1st Street, Toppenish, WA 98948 | 2018-09-07 |
| 1508386236 | Suzzana Marie Ntalikas | Massage Therapist | 501 West 4th Avenue, Toppenish Physical Therapy, Toppenish, WA 98948 | 2017-06-23 |
| 1265849566 | Traci Stout | Registered Nurse | 171 Wishpoosh Rd, Toppenish, WA 98948 | 2014-07-18 |
| 1255748554 | Julie Ferguson | Registered Nurse | 171 Wishpoosh Rd # 28, Toppenish, WA 98948 | 2014-07-18 |
| 1225469927 | Merit Resource Services | Preferred Provider Organization | 300 South First Ave, Toppenish, WA 98948 | 2013-12-05 |
| 1326370644 | Yakama Nation | Community/Behavioral Health | 171 Wishpoosh Road #28, Toppenish, WA 98948 | 2010-02-11 |
| 1780913566 | Cynthia G. Mills | Counselor | 20 Gunnyon Rd., Toppenish, WA 98948 | 2009-12-08 |
| Find all providers in zip 98948 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188856 | Adriana Andrea Moncada | Counselor | 20 Gunnyon Road, Toppenish, WA 98948 | 2019-01-28 |
| 1447735667 | Maguen Landa-samano Diaz | Counselor | 220 Germantown Rd, Toppenish, WA 98948-9605 | 2018-10-03 |
| 1780913566 | Cynthia G. Mills | Counselor | 20 Gunnyon Rd., Toppenish, WA 98948 | 2009-12-08 |
| 1407077142 | Vicente A Moran | Counselor | 402 W 1st Ave, Toppenish, WA 98948-1530 | 2007-05-01 |
| 1649316316 | The Valley Alcohol Council | Counselor | 321 W 1st Ave, Toppenish, WA 98948-1527 | 2007-01-30 |
| 1134686546 | Robert Wade Benge | Counselor | 20 Gunnyon Road, Toppenish, WA 98948 | 2019-02-22 |
| 1972067023 | Raymond Hernandez | Counselor | 20 Gunnyon Rd., Toppenish, WA 98948 | 2019-01-23 |
| 1053856021 | Jessica D Jay | Counselor | 321 W 1st Ave, Toppenish, WA 98948-1527 | 2016-12-30 |
| 1891049458 | Michael Balli | Counselor | 20 Gunnyon Rd, Toppenish, WA 98948 | 2012-11-05 |
| 1366796922 | Larena Francine Stevens | Counselor | 20 Gunnyon Rd, Toppenish, WA 98948 | 2012-11-05 |
| Find all providers in TOPPENISH | ||||
Please comment or provide details below to improve the information on MR. RANDY DEE 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.