MRS. AMANDA KAYE GREEN (NPI# 1437699006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437699006 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA KAYE GREEN |
| Credential | PNP |
| Practice Address |
517 Great Oaks Drive Suite 103 Monroe GA 30655 |
| Practice Telephone | 7702077916 |
| Practice Fax Number | 7702679840 |
| Mailing Telephone | 7702077916 |
| Mailing Fax Number | 7702679840 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN209452 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205381290 | Amanda Green | Marriage & Family Therapist | 1885 S Arlington Ave Ste 201, Reno, NV 89509-3377 | 2016-08-18 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1528478443 | Amanda Green | Psychologist | 207 Briggs Dr, Easley, SC 29642-1803 | 2014-04-30 |
| 1396168084 | Amanda Green | Occupational Therapy Assistant | 10 Notch Rd, Adams, MA 01220-1012 | 2014-01-30 |
| 1740529684 | Amanda Green | Pharmacist | 212 Liberty St # 214, Warren, PA 16365-2347 | 2013-02-13 |
| 1588783344 | Amanda Spivey Green | Dentist | 1463 E Main St, Spartanburg, SC 29307-2246 | 2007-03-29 |
| 1578162624 | Amanda Rose Green | Physician Assistant | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2020-10-20 |
| 1477101418 | Amanda Marie Green | Occupational Therapist | 9957 Allisonville Rd, Fishers, IN 46038-2006 | 2019-09-03 |
| 1457905697 | Amanda Marie Green | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-25 |
| 1063979078 | Amanda Green | Case Manager/Care Coordinator | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-02-26 |
| Street Address |
517 GREAT OAKS DRIVE SUITE 103 |
| City | MONROE |
| State | GA |
| Zip Code | 30655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| 1912315763 | Spectrum Surgical Assisting LLC | Specialist/Technologist, Other | 146 Martin Luther King Jr Blvd #302, Monroe, GA 30655 | 2014-07-24 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992367833 | Mallory Middleton | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-07-01 |
| 1760950125 | Amanda Nederlof | Nurse Practitioner | 401 Monroe Tpke, Monroe, CT 06468-2276 | 2018-11-05 |
| 1629592209 | Gretchen Carlin | Nurse Practitioner | 401 Monroe Tpke Ste 16, Monroe, CT 06468-2278 | 2017-07-26 |
| 1619345360 | Lori Allen Sadler | Nurse Practitioner | 517 Great Oaks Dr, Suite #103, Monroe, GA 30655-8211 | 2015-09-11 |
| 1407239395 | Krystal Amber Yount | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2015-07-09 |
| 1851778765 | Melissa Varrone | Nurse Practitioner | 49 Forest Rd, Monroe, NY 10950-2923 | 2015-04-29 |
| 1154716736 | Emma Mean | Nurse Practitioner | 1653 Campus Park Dr, Suite A, Monroe, NC 28112-4005 | 2015-04-01 |
| 1326478447 | Nadia Marie Allen | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2013-11-27 |
| 1144652181 | Joanie Lynn Graves | Nurse Practitioner | 2915 Betin Ave, Monroe, LA 71201-7257 | 2013-08-01 |
| 1720367501 | Stacy Domingues Webb | Nurse Practitioner | 3401 Magnolia Cv, Monroe, LA 71203-2375 | 2011-08-10 |
| Find all providers in MONROE | ||||
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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.