STACY JO GREEN


Address: 120 Washington Towne Blvd N, Edinboro, PA 16412-1254
Phone: 8148777500

STACY JO GREEN (NPI# 1437481074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437481074
Entity Type Individual
Full Name STACY JO GREEN
Credential CRNP
Practice Address 120 Washington Towne Blvd N
Edinboro
PA 16412-1254
Practice Telephone 8148777500
Practice Fax Number 8148777510
Mailing Telephone 8148777500
Mailing Fax Number 8148777510
Enumeration Date 2010-02-08
Last Update Date 2020-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner SP010692 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers STACY GREEN

NPI Name Taxonomy Address Enumeration
1558686162 Stacy Robin Green Counselor 3985 Wonderland Hill Ave Ste 103, Boulder, CO 80304-1038 2010-04-07
1447346911 Stacy L. Green Counselor 714 West Main St., Grass Valley, CA 95945 2006-10-04
1366062754 Stacy P Green Nurse Practitioner 5646 Read Blvd Ste 380, New Orleans, LA 70127-3148 2020-04-26
1679119754 Stacy Nicole Green Social Worker 510 Butler Ave, Martinsburg, WV 25405-9990 2019-11-22
1568937050 Stacy Wayne Green Physical Therapy Assistant 1907 Refinery Rd, Gainesville, TX 76240-2111 2018-10-10
1811481047 Stacy L Green Behavior Technician 9150 Bereford Dr, Baton Rouge, LA 70809-2403 2018-06-20
1326416181 Stacy Katrina Green Marriage & Family Therapist 900 Church St, D2, Laurens, SC 29360-1668 2015-09-10
1558777094 Stacy Lynn Green Occupational Therapy Assistant 525 Glenburn Ave, Cambridge, MD 21613-1414 2014-07-04
1245590900 Stacy A Green Home Health Aide 6480 New Hampshire Ave, Takoma, MD 20912 2012-05-29
1265598361 Stacy Jaye Green Social Worker 500 College Ave, Worth Health Center - North Wing, Swarthmore, PA 19081-1306 2006-12-31

Office Location

Street Address 120 WASHINGTON TOWNE BLVD N
City EDINBORO
State PA
Zip Code 16412-1254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659319176 Julie Ann Wehrer Family Medicine 120 Washington Towne Blvd N, Edinboro, PA 16412-1254 2006-06-04
1033448477 Christopher E Conn Nurse Practitioner 120 Washington Towne Blvd N, Edinboro, PA 16412-1254 2009-12-14
1144487836 Regional Health Services Inc Family Medicine 120 Washington Towne Blvd N, Edinboro, PA 16412-1254 2008-05-20
1932131513 Jeffrey Caldwell Family Medicine 120 Washington Towne Blvd N, Edinboro, PA 16412-1254 2006-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376183137 Ashley B Barnett Specialist/Technologist 455 Scotland Road, Edinboro, PA 16412 2020-01-09
1083101901 Kelly Anne Bruce Specialist/Technologist 11700 Edinboro Rd, Edinboro, PA 16412 2018-04-16
1922477389 Keyara Kelly Specialist/Technologist 5550 Crane Road, Edinboro, PA 16412 2015-09-16
1366721425 Pamer Family Chiropractic & Wellness Chiropractor 11700 Edinboro Rd., Edinboro, PA 16412 2011-08-08
1568629335 Lake Erie Dental Inc Dentist 106 Waterford Street, Edinboro, PA 16412 2008-05-20
1902007099 Margaret Burke Kessler Counselor 124 Meadville St Ste 105, Edinboro, PA 16412 2007-05-29
1134255516 James Turner Bolard Optometrist 103 Erie St, Edinboro, PA 16412 2007-02-27
1164917696 Deveshi Chandan Dentist 606 Erie St, Edinboro, PA 16412 2018-06-27
1104291384 Gina Demarco Smith Occupational Therapist 419 Waterford Street, Edinboro, PA 16412 2015-12-14
1194134312 Summer Renae Payer Massage Therapist 201a Waterford St, Edinboro, PA 16412 2014-08-13
Find all providers in zip 16412

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104929991 Linda Straub Nurse Practitioner 118 E Plum St, Edinboro, PA 16412-2252 2006-09-06
1063956399 Danielle M Cavalieri Nurse Practitioner 118 E Plum St, Edinboro, PA 16412-2252 2016-12-06
1033448477 Christopher E Conn Nurse Practitioner 120 Washington Towne Blvd N, Edinboro, PA 16412-1254 2009-12-14
1538306097 Christine F Higley Nurse Practitioner 450 Erie St, Edinboro, PA 16412-2200 2009-01-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326648320 Jennifer Glace Nurse Practitioner 5 Moore Cir, Media, PA 19063-4953 2020-10-28
1710586805 Tracey Wuestkamp Sloan Nurse Practitioner 5218 Bailey Ct W, Doylestown, PA 18902-1477 2020-10-20
1477151280 Kelly M. Distelrath Nurse Practitioner 4203 Timberlane Dr, Allison Park, PA 15101-2954 2020-10-14
1538766837 Kimberly Ann Martyn Nurse Practitioner 168 W Baltimore Pike, Media, PA 19063 2020-10-08
1679170989 Aubree Marie Richards Nurse Practitioner 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 2020-10-08
1326654237 Alissa Marie Buckanavage Nurse Practitioner 6223 Autumn View Dr, Harrisburg, PA 17112-1843 2020-09-17
1508471962 Macey Schaffer Nurse Practitioner 2903 Broadway Ave, Pittsburgh, PA 15234-2801 2020-09-12
1710592472 Novique Medical Aesthetics Nurse Practitioner 1715 S Easton Rd, Doylestown, PA 18901-5923 2020-09-10
1992318141 Mary Jucel P Angeles Nurse Practitioner 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 2020-08-27
1205448818 Emily A Lockwood Nurse Practitioner 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 2020-08-17
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Competitor

Search similar providers

City EDINBORO
Zip Code 16412

Improve Information

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Dataset Information

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.

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