ERIC GREEN (NPI# 1447796875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447796875 |
| Entity Type | Individual |
| Full Name | ERIC GREEN |
| Credential | APRN |
| Practice Address |
1520 N Division St Blytheville AR 72315-1448 |
| Practice Telephone | 8708387300 |
| Mailing Telephone | 8708387300 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A004965 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1669810610 | Eric A Green | Audiologist | 92 Broadway Ste B, Denville, NJ 07834-2733 | 2013-06-12 |
| 1467769588 | Eric Douglas Green | Pathology | Nih 31 Center Dr, Building 31, Room 4b09, Bethesda, MD 20892-0001 | 2010-09-10 |
| 1629391446 | Eric Ross Green | Specialist | Fairfax Road At Virginia St., Salt Lake City, UT 84103-4399 | 2010-03-08 |
| 1093326340 | Eric Neal Green | Registered Nurse | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-08-11 |
| 1609366293 | Eric Green | Counselor | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2018-05-18 |
| 1548761547 | Eric Anthony Green | Peer Specialist | 401 S Tustin St Bldg C, Orange, CA 92866-2550 | 2018-02-24 |
| 1871011064 | Eric Demond Green | Driver | 90 Pine St, Shepherd, TX 77371 | 2017-09-07 |
| 1316284706 | Eric Douglas Green | Rehabilitation Counselor | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2013-01-07 |
| 1235483793 | Eric L Green | Physical Therapy Assistant | 257 Sw Dade St, Madison, FL 32340-2361 | 2012-11-06 |
| Street Address |
1520 N DIVISION ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338123 | Dunne Medical Ltd | Radiology | 1520 N Division St, Blytheville, AR 72315-1448 | 2005-10-05 |
| 1598218828 | Melissa Joy | Pharmacist | 1520 N Division St, Blytheville, AR 72315-1448 | 2016-08-03 |
| 1932442985 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 1520 N Division St, Blytheville, AR 72315-1448 | 2013-03-28 |
| 1720332505 | Arkansas Em-i Byrne Medical Services Pa | Nurse Practitioner | 1520 N Division St, Blytheville, AR 72315-1448 | 2012-11-01 |
| 1194009019 | Mississippi County Hospital System | Psychiatric Unit | 1520 N Division St, Blytheville, AR 72315-1448 | 2011-10-11 |
| 1750661500 | North Division Street Emergency Physicians | Emergency Medicine | 1520 N Division St, Blytheville, AR 72315-1448 | 2011-08-25 |
| 1376844878 | Mississippi County Hospital System | Anesthesiology | 1520 N Division St, Anesthesia Department, Blytheville, AR 72315-1448 | 2010-11-15 |
| 1932425758 | Laboratory Corporation of America | Clinical Medical Laboratory | 1520 N Division St, Blytheville, AR 72315-1448 | 2010-04-19 |
| 1053554485 | Mississippi County Hospital System | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2009-04-15 |
| 1578706107 | Mississippi County Hospital System | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2009-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578098570 | Chris Lee Raymer | Nurse Practitioner | 4437 E Main St Apt 6, Blytheville, AR 72315-8401 | 2017-04-27 |
| 1457836298 | Aimee Hatch | Nurse Practitioner | 527 N 6th St, Blytheville, AR 72315-2407 | 2018-09-27 |
| 1326566357 | Brittany Rose | Nurse Practitioner | 1001 N 6th St, Blytheville, AR 72315-1707 | 2017-08-30 |
| 1740728187 | Summer Alexander | Nurse Practitioner | 1100 Medical Dr, Suite C, Blytheville, AR 72315-1425 | 2017-02-06 |
| 1720332505 | Arkansas Em-i Byrne Medical Services Pa | Nurse Practitioner | 1520 N Division St, Blytheville, AR 72315-1448 | 2012-11-01 |
| 1689907131 | Joe V. Jones Md, Pa. | Nurse Practitioner | 605 N 2nd St, Blytheville, Blytheville, AR 72315-2034 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1275151524 | Patricia Waller | Nurse Practitioner | 905 Long Branch Rd, Heber Springs, AR 72543-8305 | 2020-07-13 |
| 1659997351 | Amanda Cheatham | Nurse Practitioner | 16832 Prince Rd, Canehill, AR 72717-9415 | 2020-06-18 |
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1518581115 | Ragan Arrison | Nurse Practitioner | 365 Mapleleaf Cir, Hot Springs, AR 71901-3371 | 2020-05-31 |
| 1639799240 | Jessica Lee Crump | Nurse Practitioner | 1996 Highway 31 N, Beebe, AR 72012-9784 | 2020-04-23 |
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1164069969 | Morgan Wilkerson | Nurse Practitioner | 41 Weaver Cir, Vilonia, AR 72173-9014 | 2019-11-30 |
| 1881256220 | Felica Shunta Johnson | Nurse Practitioner | 311 Carson St, Bono, AR 72416-9605 | 2019-07-06 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
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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.