SHANNON J GREEN (NPI# 1528588605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528588605 |
| Entity Type | Individual |
| Full Name | SHANNON J GREEN |
| Credential | DC |
| Practice Address |
636 W Broadway St North Little Rock AR 72114-5526 |
| Practice Telephone | (501) 374-1153 |
| Practice Fax Number | 5013746213 |
| Mailing Telephone | 5013741153 |
| Mailing Fax Number | 5013746213 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | PENDING | AR | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194245969 | Shannon Laray Green | Counselor | 3800 Dalecrest Dr Unit 2109, Las Vegas, NV 89129-1769 | 2017-06-22 |
| 1760910079 | Shannon Green | Social Worker | 401 Whitney Ave Ste 320, Gretna, LA 70056-2502 | 2017-05-31 |
| 1942434295 | Shannon Green | Licensed Practical Nurse | 821 N Main Rd Apt 45a, Vineland, NJ 08360-8219 | 2009-05-14 |
| 1720254261 | Shannon Becker Green | Obstetrics & Gynecology | 5215 Loughoro Road Nw, Suite 500, Washington, DC 20016-2633 | 2008-05-05 |
| 1609070572 | Shannon Green | Marriage & Family Therapist | 1055 El Camino Dr, F-100, Costa Mesa, CA 92626-5574 | 2007-06-13 |
| 1164573275 | Shannon Green | Nutritionist | 1011 Ingleside Ave, Catonsville, MD 21228-1318 | 2007-01-15 |
| 1992772073 | Shannon Green | Nurse Practitioner | 2 Innovation Drive, Suite 140, Greenville, SC 29605-5263 | 2006-03-07 |
| 1750995270 | Shannon Marie Green | Nurse Practitioner | 1 Hospital Dr, Columbia, MO 65212-1001 | 2020-09-02 |
| 1427618412 | Shannon Green | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-06-20 |
| 1811550999 | Shannon Green | Student in an Organized Health Care Education/Training Program | 112 Squire Hall, Buffalo, NY 14214-8006 | 2019-04-15 |
| Street Address |
636 W BROADWAY ST |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801872304 | Arkansas Center for Physical Medicine & Rehabilitation | Chiropractor | 636 W Broadway St, North Little Rock, AR 72114-5526 | 2005-12-16 |
| 1114387362 | William Raen Browder | Chiropractor | 636 W Broadway St, North Little Rock, AR 72114-5526 | 2016-03-01 |
| 1962670984 | Nicole Joy Hurtt | Massage Therapist | 636 W Broadway St, North Little Rock, AR 72114-5526 | 2008-02-12 |
| 1366632887 | Health Management of Arkansas | Chiropractor | 636 W Broadway St, North Little Rock, AR 72114-5526 | 2007-07-31 |
| 1790821890 | Felicia Anna Carrillo | Contractor | 636 W Broadway St, North Little Rock, AR 72114-5526 | 2007-01-29 |
| 1033222740 | Kristin Marie Burdett | Massage Therapist | 636 W Broadway St, North Little Rock, AR 72114-5526 | 2006-08-16 |
| 1407832801 | Steven Frederick Bennett | Chiropractor | 636 W Broadway St, North Little Rock, AR 72114-5526 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326584681 | James Michael Galvin IIi | Chiropractor | 109 E C Ave, North Little Rock, AR 72116-8805 | 2017-01-11 |
| 1790034106 | Jesse Wood | Chiropractor | 7319 River Pointe Dr, North Little Rock, AR 72113-6951 | 2012-08-30 |
| 1154600856 | Central Arkansas Chiropractic North Little Rock Pllc | Chiropractor | 4196 E Mccain Blvd, North Little Rock, AR 72117-2523 | 2011-08-11 |
| 1861780512 | Park Spine & Rehab | Chiropractor | 3901 Mccain Park Dr Ste 110, North Little Rock, AR 72116-7849 | 2011-07-15 |
| 1619281185 | David Christopher Morse | Chiropractor | 4100 Landers Rd, North Little Rock, AR 72117-2524 | 2010-07-27 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1972783827 | Cindy Brock | Chiropractor | 3508 Jfk Blvd Ste 2, North Little Rock, AR 72116-8843 | 2007-11-08 |
| 1174738405 | Ronald D Colclasure | Chiropractor | 218 E D Ave, North Little Rock, AR 72116-8811 | 2007-05-11 |
| 1144337346 | Peggy Sue Engelhoven | Chiropractor | 4401 Orange St, North Little Rock, AR 72118-3621 | 2006-08-24 |
| 1801823224 | Larry James Bell | Chiropractor | 5700 John F Kennedy Blvd, North Little Rock, AR 72116-5640 | 2006-06-28 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
Please comment or provide details below to improve the information on SHANNON J GREEN.
| 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.