ANDREW DAVID GREEN (NPI# 1396007993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396007993 |
| Entity Type | Individual |
| Full Name | ANDREW DAVID GREEN |
| Credential | ARNP |
| Practice Address |
11555 Central Pkwy Ste 304 Jacksonville FL 32224-2694 |
| Mailing Address |
7855 Argyle Forest Blvd Ste 101 Jacksonville FL 32244-5597 |
| Practice Telephone | 9042657755 |
| Practice Fax Number | 9042657754 |
| Mailing Telephone | 9042826331 |
| Mailing Fax Number | 9046191080 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2019-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9176315 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407219686 | Andrew Fay Green | Case Manager/Care Coordinator | 9000 S 31st St E, Muskogee, OK 74403-9001 | 2016-04-04 |
| 1639534274 | Andrew Green | Chiropractor | 8200 Wednesbury Ln Ste 370, Houston, TX 77074-2929 | 2015-12-28 |
| 1861765448 | Andrew L Green | Social Worker | 910 Woodland Dr, Lakewood, NJ 08701-3039 | 2012-02-13 |
| 1932612223 | Andrew Green | Behavioral Analyst | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2017-11-09 |
| 1063943132 | Andrew Green | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Winston Salem, NC 27157-0001 | 2017-03-21 |
| 1225464753 | Andrew Green | Physical Therapist | 314 E 1st St, East Syracuse, NY 13057-2927 | 2013-09-16 |
| 1497024392 | Andrew Green | Case Manager/Care Coordinator | 2135 Malcolm Ave, Newport, AR 72112-3631 | 2011-12-21 |
| 1578890356 | Andrew C Green | Chiropractor | 3868 E Robinson Rd, Amherst, NY 14228-2001 | 2009-11-16 |
| 1225264427 | Andrew L Green | Pharmacist | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2009-06-03 |
| 1396943973 | Andrew Emmons Green | Obstetrics & Gynecology | 1498 Jesse Jewell Pkwy Se Ste C, Gainesville, GA 30501 | 2007-07-05 |
| Street Address |
11555 CENTRAL PKWY STE 304 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912979584 | Jeffrey Michael Green | Physician Assistant | 11555 Central Pkwy Ste 304, Jacksonville, FL 32224-2694 | 2006-02-07 |
| 1487270351 | Formoso Pain Specialists, Pa | Pain Medicine | 11555 Central Pkwy Ste 304, Jacksonville, FL 32224-2694 | 2020-06-17 |
| 1881089613 | Physicians Group Services | Family Medicine | 11555 Central Pkwy Ste 304, Jacksonville, FL 32224-2694 | 2015-03-30 |
| 1346554771 | Physicians Group Services Pa | Family Medicine | 11555 Central Pkwy Ste 304, Jacksonville, FL 32224-2694 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on ANDREW DAVID 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.