MS. SPARKLE GREEN (NPI# 1487683074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487683074 |
| Entity Type | Individual |
| Full Name | MS. SPARKLE GREEN |
| Other Name | GOLDIE SPARKLE GREEN |
| Credential | ARNP |
| Practice Address |
173 Nw Albritton Ln Lake City FL 32055-4451 |
| Mailing Address |
911 S Main St Trenton FL 32693-3239 |
| Practice Telephone | 3867554020 |
| Practice Fax Number | 3867529143 |
| Mailing Telephone | 3524632374 |
| Mailing Fax Number | 3524632726 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1181972 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 033364600 | 05 | |
| FL | FLORIDA LICENSE NUMBER | 1181972 | 01 |
| Street Address |
173 NW ALBRITTON LN |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795175 | John P Odonnell | Physician Assistant | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2005-07-28 |
| 1982264438 | Pamela Lima | Dentist | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2019-06-17 |
| 1205232808 | Althea L Robinson | Nurse Practitioner | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2014-11-07 |
| 1124442355 | Trenton Medical Center, Inc. | Family Medicine | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2014-02-07 |
| 1730452590 | Aleyda America Ferrer-duchesne | Dentist | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2012-02-09 |
| 1053430314 | Angela Tomlinson | Registered Nurse | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2007-03-28 |
| 1528162047 | Stanley Steven Jones | Dentist | 173 Nw Albritton Ln, Lake City, FL 32055-4451 | 2006-09-13 |
| 1962464248 | Family Health Center of Columbia County, Inc. | Physician Assistant | 173 Nw Albritton Ln, Lake City, FL 32055-0249 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| 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 |
|---|---|---|---|---|
| 1518584606 | Caroline Witt Nettles | Nurse Practitioner | 228 Nw Ranch Ct, Lake City, FL 32055-8922 | 2020-07-06 |
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1942321575 | Tracie Ledora Mitchem-green | Nurse Practitioner | 295 Nw Commons Loop # 115-105, Lake City, FL 32055-7721 | 2007-04-02 |
| 1366477002 | Mary Ellen Mclendon | Nurse Practitioner | 160 Se Saint Johns St, Lake City, FL 32025-4491 | 2006-07-11 |
| 1366471914 | Vida V Umstead | Nurse Practitioner | 4225 Nw American Ln, Lake City, FL 32055-8841 | 2006-07-03 |
| 1689654584 | Ira Lee | Nurse Practitioner | 777 W Duval St, Lake City, FL 32055-5806 | 2006-01-18 |
| 1346249406 | Matthew Neil Melvin | Nurse Practitioner | 1847 Sw Barnett Way, Lake City, FL 32025-6957 | 2005-07-20 |
| 1922007475 | Colleen A Thompson | Nurse Practitioner | 4196 W Us Highway 90, Ste 105, Lake City, FL 32055-8833 | 2005-07-18 |
| Find all providers in LAKE CITY | ||||
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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.