JONATHAN GREEN


Address: 710 Terry Ave, Springdale, AR 72764-6804
Phone: 4792838509

JONATHAN GREEN (NPI# 1548652332) 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) 1548652332
Entity Type Individual
Full Name JONATHAN GREEN
Practice Address 710 Terry Ave
Springdale
AR 72764-6804
Practice Telephone 4792838509
Enumeration Date 2015-03-03
Last Update Date 2020-01-22
NPI Deactivation Date 01/06/2020
NPI Reactivation Date 2020-01-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers JONATHAN GREEN

NPI Name Taxonomy Address Enumeration
1720425390 Jonathan Green Surgery 1200 Everett Dr Ste 2320, Oklahoma City, OK 73104-5047 2013-05-23
1225028210 Jonathan Green Physician Assistant 10444 Sr 66 N, Newburgh, IN 47630-7954 2005-10-21
1760097679 Jonathan Matthew Green Pharmacist 50 Irving St Nw, Washington, DC 20422-0001 2020-09-09
1235601055 Jonathan Carson Green Specialist/Technologist 1000 E Main St, Danville, IN 46122-1948 2018-12-18
1952889347 Jonathan Jorvell Green Occupational Therapist 3101 Ginger Dr, Tallahassee, FL 32308-4437 2018-07-30
1447754098 Jonathan Green Physical Therapist 2620 Scripture St, Denton, TX 76201-4315 2018-03-20
1164930756 Jonathan Green Counselor 5151 Adanson St, Orlando, FL 32804-1330 2018-01-17
1467829192 Jonathan Michael Green Specialist/Technologist, Other 13 S Tejon St Fl 5, Colorado Springs, CO 80903-1513 2015-08-28
1144622382 Jonathan Green Registered Nurse 257 Lafayette Ave, Suffern, NY 10901-4830 2014-09-18
1437568144 Jonathan Green Psychologist 150 S Huntington Ave, 116b-4, Boston, MA 02130-4817 2014-08-06

Office Location

Street Address 710 TERRY AVE
City SPRINGDALE
State AR
Zip Code 72764-6804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851903884 Conway County Community Service Inc. Community/Behavioral Health 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 2020-08-20
1316592801 Above and Beyond Pediatric Therapy, Inc Speech-Language Pathologist 2700 American St., Ste B, Springdale, AR 72764 2019-08-02
1053871061 Specialized Hearing Instruments, Inc. Audiologist-Hearing Aid Fitter 958 S. West End St., Springdale, AR 72764 2019-03-25
1801385976 Taylor Beauregard Kelamis Nurse Practitioner Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 2018-05-04
1649726878 Ember Estelle Lanuti Brown Speech-Language Pathologist 4209 Navajo Court, Springdale, AR 72764 2016-08-28
1568838241 Elayna Wells Speech-Language Pathologist 900 S Powell Street, Springdale, AR 72764 2015-08-17
1184003261 Okeyo Oghina Nurse Practitioner 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 2015-05-22
1235524869 William M Rogers Family Medicine 513 N. Shiloh Street, Springdale, AR 72764 2015-03-31
1336498872 Kelly Meeann Miller Speech-Language Pathologist 105 S Blair Street, Springdale, AR 72764 2012-08-30
1902183874 Cristy Hoffman Physical Therapy Assistant 2837 American St Ste A, Springdale, AR 72764 2011-11-07
Find all providers in zip 72764

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477190981 Barry Gilliam Peer Specialist 220 Sycamore Ridge Dr, Springdale, PA 15144-1054 2019-12-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164032702 Christopher Ray Rouse Peer Specialist 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 2020-08-07
1538709290 Kyle Ryan Keith Peer Specialist 25 Murphy Dr, Bella Vista, AR 72715-6913 2020-01-10
1588160634 Terri Lashun Butler Peer Specialist 15 Azalea Loop, Conway, AR 72032-8522 2018-04-05
1750994257 Laretta Machelle Solomon Peer Specialist 17235 Logan Cave Rd Lot 3, Siloam Springs, AR 72761-9223 2020-08-25
1053944504 Lonnie Phillips Peer Specialist 1521 Merrill Dr, Little Rock, AR 72211-1821 2020-02-12
1679127450 Donterries L Alexander Peer Specialist 2904 Arkansas Blvd, Texarkana, AR 71854-2536 2019-07-30
1437621018 Gary Wade Carter Peer Specialist 615 W Grand Ave, Hot Springs, AR 71901-3927 2018-12-20
1588032684 Michael William Jones Peer Specialist 1500 Dodson Ave, Fort Smith, AR 72901-5182 2015-09-04
1487993655 Judy Weaver Peer Specialist 350 Salem Rd Ste 1, Conway, AR 72034 2013-02-08
1386898765 Raymond Zachary Bates Peer Specialist 3111 S 70th St, Fort Smith, AR 72903-5017 2008-11-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City SPRINGDALE
Zip Code 72764

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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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