MS. PHYLLIS R GREEN (NPI# 1558331439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558331439 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS R GREEN |
| Other Name | MRS. PHYLLIS R BERG |
| Credential | WHCNP |
| Practice Address |
3425 1st Ave Se Suite 100 Cedar Rapids IA 52402-6155 |
| Practice Telephone | 3193633459 |
| Mailing Telephone | 3193633459 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2010-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F-076357 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICA'S PPO (ARAZ) | 1043738 | 01 | |
| SD | 6826082 | 05 | |
| SD | 6826080 | 05 | |
| MEDICA | 07-12543 | 01 | |
| NE | 10025013500 | 05 | |
| MN | BCBS MN | 32B01BE | 01 |
| SD | BCBS SD (WELLMARK) | 4998568 | 01 |
| MN | 095817400 | 05 | |
| PREFERRED ONE | 1017855 | 01 | |
| UCARE | 122187 | 01 | |
| SIOUX VALLEY HEALTH PLAN | 23511 | 01 | |
| SD | BCBS SD (WELLMARK) | 4998913 | 01 |
| HEALTH PARTNERS | HP39675 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902082035 | Phyllis Lavern Green | Case Manager/Care Coordinator | 10 Rachel Ct, Little Rock, AR 72206-5409 | 2008-01-18 |
| 1902308240 | Phyllis Green | Counselor | 2780 Sw 37th Ave Ste 206, Coconut Grove, FL 33133-2740 | 2018-03-02 |
| 1790909695 | Phyllis Louise Green | Counselor | 8026 Lorraine Ave, Suite 201, Stockton, CA 95210-4224 | 2007-04-12 |
| Street Address |
3425 1ST AVE SE SUITE 100 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497180913 | Susan Marie Burgard | Physician Assistant | 3425 1st Ave Se, Ste 100, Cedar Rapids, IA 52402 | 2013-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710003454 | Julie A Thompson | Nurse Practitioner | 4225 Red Oak Dr, Cedar Rapids, IA 52403-3947 | 2007-03-22 |
| 1730219742 | Planned Parenthood of The Heartlan | Nurse Practitioner | 3425 1st Ave Se Suite 100, Planned Parenthood of The Heartland Cedar Rapids Clinic, Cedar Rapids, IA 52402-6005 | 2007-03-07 |
| 1679956379 | Rebecca S Hammes | Nurse Practitioner | 855 A Avenue Ne, Suite 200, Cedar Rapids, IA 52402-5057 | 2015-06-30 |
| 1811388440 | Jennifer Burgett | Nurse Practitioner | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2015-02-18 |
| 1952728735 | Amy Kathryn Steger | Nurse Practitioner | 788 8th Ave Se Ste 100, Cedar Rapids, IA 52401-2106 | 2014-03-18 |
| 1730528225 | Sara Cathryn Olmstead | Nurse Practitioner | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2013-06-18 |
| 1285078196 | Nicole Marie Myers | Nurse Practitioner | 855 A Avenue Ne, Cedar Rapids, IA 52402 | 2013-04-22 |
| 1154666527 | Nicole Marie Baccam | Nurse Practitioner | 1201 3rd Ave Se, Linn Community Care, Cedar Rapids, IA 52403-4009 | 2012-12-11 |
| 1578658738 | St. Luke's Methodist Hospital | Nurse Practitioner | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023399011 | Tassie Ann Carter | Nurse Practitioner | 1766 Central Ave, Planned Parenthood of The Heartland Dubuque Clinic, Dubuque, IA 52001-3607 | 2011-09-02 |
| 1225317183 | Planned Parenthood of The Heartland | Nurse Practitioner | 2201 Ave H, Planned Parenthood of The Heartland Fort Madison Clinic, Fort Madison, IA 52627-4048 | 2011-08-10 |
| 1336428291 | Planned Parenthood of The Heartland | Nurse Practitioner | 114 E Monroe #111, Planned Parenthood of The Heartland Mount Pleasant Clin, Mount Pleasant, IA 52641-1970 | 2011-08-10 |
| 1992083190 | Planned Parenthood of The Heartland | Nurse Practitioner | 311 N 4th Ave, Planned Parenthood of The Heartland Washington Clinic, Washington, IA 53253-2247 | 2011-07-22 |
| 1700020203 | Lindsey J Keonin | Nurse Practitioner | 2304 University Avenue, Des Moines, IA 50311-4316 | 2009-04-28 |
| 1497914758 | Jacqueline Kay Greenfield | Nurse Practitioner | 603 Indian Hills Dr Bldg 15, Ottumwa, IA 52501-1468 | 2008-06-03 |
| 1790841161 | Nina Rae Cullinan | Nurse Practitioner | 727 N West St, Carroll, IA 51401-2348 | 2006-12-29 |
| 1902974538 | Lylia Jean Poland | Nurse Practitioner | 515 W Wall St, Seymour, IA 52590-1333 | 2006-12-01 |
| 1861560708 | Margaret Ann Beatty | Nurse Practitioner | 918 E 9th St, Spencer, IA 51301-4746 | 2006-11-30 |
| 1407921554 | Central Iowa Family Planning Inc. | Nurse Practitioner | 704 May St, Marshalltown, IA 50158-3437 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on MS. PHYLLIS R 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.