BRANDEN GREEN (NPI# 1417316688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417316688 |
| Entity Type | Individual |
| Full Name | BRANDEN GREEN |
| Practice Address |
324 N Richmond St Fleetwood PA 19522-1308 |
| Practice Telephone | 6102236279 |
| Mailing Telephone | 6102236279 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
324 N RICHMOND ST |
| City | FLEETWOOD |
| State | PA |
| Zip Code | 19522-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915803 | Brenna Fehr | Counselor | Concern Counseling, 1 W Main Street, Fleetwood, PA 19522 | 2020-09-08 |
| 1689217192 | Deidre Folk | Social Worker | 22 North Franklin Street, Fleetwood, PA 19522 | 2019-10-28 |
| 1518430529 | Victoria Ladawnna Gunther | Social Worker | 22-24 N. Franklin Street, Fleetwood, PA 19522 | 2019-01-03 |
| 1043742828 | Jill Wynne Sober | Counselor | 22-24 N. Franklin St, Fleetwood, PA 19522 | 2017-03-30 |
| 1750824520 | Clarissa Hummel Clare | Clinic/Center | 22-24 N Franklin St, Fleetwood, PA 19522 | 2016-11-29 |
| 1013308345 | Pierre Vernon Cooper | Social Worker | 22-24 N. Franklin Sttreet, Fleetwood, PA 19522 | 2015-02-09 |
| 1235536244 | Miriam Wonnie | Psychologist | One West Main Street, Fleetwood, PA 19522 | 2014-11-20 |
| 1497004972 | Lori Lee Christman | Occupational Therapist | 436 Hartz Road, Fleetwood, PA 19522 | 2012-08-30 |
| 1952661159 | Jane Csir Hoopes | Social Worker | 22-24 N. Franklin St., Fleetwood, PA 19522 | 2012-05-22 |
| 1821388042 | Jennifer Derecola | Massage Therapist | 14128 Kutztown Rd., Fleetwood, PA 19522 | 2011-04-08 |
| Find all providers in zip 19522 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639598139 | Rebecca Eddinger | Student in an Organized Health Care Education/Training Program | 157 Spook Ln, Fleetwood, PA 19522-8920 | 2014-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1356942825 | Aisha Ghauri | Student in an Organized Health Care Education/Training Program | 645 Springhouse Ln, Hummelstown, PA 17036-7009 | 2020-11-02 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1093313157 | Betty M Beimel | Student in an Organized Health Care Education/Training Program | 5966 Route 66, Kane, PA 16735-3434 | 2020-10-12 |
| 1104432616 | Zach Quince | Student in an Organized Health Care Education/Training Program | 370 Birch St, Imperial, PA 15126-1158 | 2020-09-20 |
| 1073129862 | Philip Andrus | Student in an Organized Health Care Education/Training Program | 3420 Forbes Ave Fl 2, Pittsburgh, PA 15213-3203 | 2020-09-17 |
| 1992310049 | Rachana Amin | Student in an Organized Health Care Education/Training Program | 12 Fitzgerald Dr, Moosic, PA 18507-2105 | 2020-09-14 |
| 1992310767 | Natasha Ann Parrish | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Strayer, 37 W. Frederick Street, Millersville, PA 17551 | 2020-09-09 |
| 1205440138 | Beth Ann Wagner | Student in an Organized Health Care Education/Training Program | 1444 E Main St, Douglassville, PA 19518-9116 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.