MRS. COURTNEY ANN GREEN (NPI# 1407004567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407004567 |
| Entity Type | Individual |
| Full Name | MRS. COURTNEY ANN GREEN |
| Credential | RDH |
| Practice Address |
15 Mercer Ave East Hartford CT 06118-1517 |
| Mailing Address |
869 Forbes St East Hartford CT 06118-1958 |
| Practice Telephone | 8606225514 |
| Practice Fax Number | 8606225342 |
| Mailing Telephone | 8606225340 |
| Mailing Fax Number | 8606225342 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2012-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 006800 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 006800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861846990 | Courtney Green | Physical Therapist | 9288 Stouts Rd, Kimberly, AL 35091-2005 | 2016-04-14 |
| 1750992848 | Courtney Green | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2020-08-12 |
| 1457993222 | Courtney Green | Physician Assistant | 1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622 | 2019-10-14 |
| 1730641093 | Courtney Green | Case Manager/Care Coordinator | 105 Hwy 9, Oxford, AR 72565-7201 | 2019-04-04 |
| 1518461425 | Courtney O Green | Licensed Practical Nurse | 244 Hempstead Ave, Buffalo, NY 14215-3404 | 2018-03-23 |
| 1841707841 | Courtney Green | Behavioral Analyst | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2017-12-29 |
| 1952814493 | Courtney Ann Green | Nurse Practitioner | 834 W Meeting St, Lancaster, SC 29720-6251 | 2017-11-07 |
| 1053721902 | Courtney Marie Green | Occupational Therapist | 1900 E Main St, Lancaster, OH 43130-9302 | 2014-04-30 |
| 1053653980 | Courtney Alyson Green | Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-03-18 |
| 1356619076 | Courtney A. Green | Social Worker | 602 Sw A Ave, Lawton, OK 73501-3930 | 2011-12-08 |
| Street Address |
15 MERCER AVE |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06118-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770550717 | Bonnie Giardini | Dental Hygienist | 15 Mercer Ave, East Hartford, CT 06118-1517 | 2006-03-08 |
| 1811333412 | Amanda Bernartz | Dental Hygienist | 15 Mercer Ave, East Hartford, CT 06118-1517 | 2013-05-22 |
| 1396994455 | Kimberly Patterson Mishriky | Social Worker | 15 Mercer Ave, School Based Health Center, East Hartford, CT 06118-1517 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457909665 | Theresa R Gardener | Home Health Aide | 38 Footpath Lane, East Hartford, CT 06118 | 2019-08-30 |
| 1841761731 | Zoey Walker | Nurse Practitioner | 281/287 Main Street, East Hartford, CT 06118 | 2018-12-17 |
| 1487147419 | Nesti Risto | Pharmacist | 940 Silver Lane, East Hartford, CT 06118 | 2018-06-13 |
| 1497022578 | Gifty Oteng | Pharmacist | 46 Fowler Ln, East Hartford, CT 06118 | 2011-11-17 |
| 1972556165 | Hartford Headache Center, LLC | Nurse Practitioner | 144 Main Street, Suite D, East Hartford, CT 06118 | 2006-05-18 |
| 1689636045 | Richard E Amaral | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2006-04-03 |
| 1447789839 | Gino Zaccardelli | Pharmacist | 16 Main St, East Hartford, CT 06118 | 2017-06-08 |
| 1881067247 | Christina Morrissey | Nurse Practitioner | 281 Main St, East Hartford, CT 06118 | 2015-11-07 |
| 1871961052 | Christina Marchitto | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2015-09-04 |
| 1942592514 | Chad Mcdonald | Family Medicine | 281 Main St, East Hartford, CT 06118 | 2011-05-13 |
| Find all providers in zip 06118 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831595107 | Jodyann Marie Klimkewicz | Dental Hygienist | 94 Connecticuit Blvd, East Hartford, CT 06108 | 2014-11-13 |
| 1750783171 | Julia Woron | Dental Hygienist | 16 Bantle Rd, East Hartford, CT 06118-2832 | 2014-09-17 |
| 1275500217 | Tina Seekins | Dental Hygienist | 52 Farm Dr, East Hartford, CT 06108-1211 | 2006-03-08 |
| 1770550717 | Bonnie Giardini | Dental Hygienist | 15 Mercer Ave, East Hartford, CT 06118-1517 | 2006-03-08 |
| 1386017143 | Kimberly K Hutton | Dental Hygienist | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2015-11-02 |
| 1962872002 | Victoria Dubiel | Dental Hygienist | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2015-10-01 |
| 1467828103 | Natalie Lafreniere | Dental Hygienist | 403 Main St, East Hartford, CT 06118-1831 | 2015-08-17 |
| 1639576457 | Victoria Nadolski | Dental Hygienist | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2014-11-21 |
| 1144630948 | Lori Gallon | Dental Hygienist | 763 Burnside Ave, East Hartford, CT 06108-2791 | 2014-05-01 |
| 1912325424 | Joann Bresnahan | Dental Hygienist | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2014-04-01 |
| Find all providers in EAST HARTFORD | ||||
| City | EAST HARTFORD |
| Zip Code | 06118 |
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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.