STEPHANIE LYNN GREEN (NPI# 1558983700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558983700 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN GREEN |
| Credential | APRN, FNP-C |
| Practice Address |
183 Marca Dr Lucasville OH 45648-9007 |
| Practice Telephone | 7404647814 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN.423007 | OH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.0026760 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447766290 | Stephanie Rae Green | Speech-Language Pathologist | 401 N 30th St, Mount Vernon, IL 62864-2355 | 2017-12-15 |
| 1366895328 | Stephanie Green | Counselor | 554 N Main St Ste 104, South Boston, VA 24592-3283 | 2016-07-14 |
| 1275937443 | Stephanie Green | Speech-Language Pathologist | 525 Hawthorn Cir, Frederick, CO 80530-6009 | 2014-10-17 |
| 1205188224 | Stephanie Renee Green | Foster Care Agency | 1246 Sumner St, Jacksonville, NC 28540-3473 | 2012-10-15 |
| 1629334768 | Stephanie E Green | Licensed Practical Nurse | 175 Fernwood Ave, Syracuse, NY 13205-1438 | 2012-04-03 |
| 1730415928 | Stephanie Green | Internal Medicine | 54 Meadow St Fl 1, New Haven, CT 06519-1719 | 2009-10-23 |
| 1669665824 | Stephanie Anne Green | Pediatrics | 488 Vanderbilt Pkwy, Dix Hills, NY 11746-5853 | 2007-08-21 |
| 1770666505 | Stephanie D. Green | Speech-Language Pathologist | 7706 Abbotsinch Ct, Charlotte, NC 28269-0779 | 2006-10-23 |
| 1942383310 | Stephanie Karahalis Green | Internal Medicine | 45 Gerald Rd, Marblehead, MA 01945-2069 | 2006-10-21 |
| 1871109017 | Stephanie Green | Nurse Practitioner | 14089 Abercorn St, Savannah, GA 31419-1966 | 2020-09-22 |
| Street Address |
183 MARCA DR |
| City | LUCASVILLE |
| State | OH |
| Zip Code | 45648-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558762138 | Cobra Pharmacy, LLC | Pharmacy | 37 C Lucasville-minford Road, Lucasville, OH 45648 | 2014-09-15 |
| 1366842221 | Premier Therapy & Health Centers, Inc. | Clinic/Center | 10606 U.S. 23, Lucasville, OH 45648 | 2014-08-28 |
| 1720495260 | Stephanie Jordan | Contractor | 9500 Campcreek Rd, Lucasville, OH 45648 | 2014-07-16 |
| 1851630255 | Amy D Reeder | Occupational Therapy Assistant | 10098a Big Bearcreek, Lucasville, OH 45648 | 2013-02-05 |
| 1033458567 | Christopher E Holbrook Sr. | Durable Medical Equipment & Medical Supplies | 10324 Us Rte 23, Lucasville, OH 45648 | 2013-02-04 |
| 1366735953 | Health Maintenance Partners, Inc. | Clinic/Center | 10701 Us 23 South, Lucasville, OH 45648 | 2011-05-16 |
| 1154552271 | Dianne N Bragdon | Licensed Practical Nurse | 115 Borders Road, Lucasville, OH 45648 | 2009-08-06 |
| 1134368459 | Friends of Good Shepherd Manor | Intermediate Care Facility, Mentally Retarded | 374 Good Manor Rd, Lucasville, OH 45648 | 2009-02-10 |
| 1366688897 | Scioto Ambulance District | Ambulance | 7106 Big Bear Creek Road, Lucasville, OH 45648 | 2009-01-06 |
| 1831311422 | Cheryl Annette Frazier | Licensed Practical Nurse | 763 Dewey Ext, Lucasville, OH 45648 | 2007-05-03 |
| Find all providers in zip 45648 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770021933 | Holli Eden Dunham | Nurse Practitioner | 1000 Caldwell Rd, Lucasville, OH 45648-8346 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1932700937 | Caroline V Murrey | Nurse Practitioner | 109 Ratcliff Ln, Plain City, OH 43064-8662 | 2020-11-05 |
| 1134720154 | Anthonia Ndali Chukwudelunzu | Nurse Practitioner | 20 Rocky Top Ct, Maple Heights, OH 44137-4760 | 2020-11-05 |
| 1275134801 | Abram James Basinger | Nurse Practitioner | 3956 Sparkhill Dr, Enon, OH 45323-1436 | 2020-11-02 |
| 1780284091 | Tana Darniece Williams | Nurse Practitioner | 513 Harris Rd, Richmond Heights, OH 44143-2539 | 2020-10-27 |
| 1174123335 | Heidi Archer | Nurse Practitioner | 52003 Peck Wadsworth Rd, Wellington, OH 44090-9725 | 2020-10-27 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1538768445 | Ashley Nicole Morgan | Nurse Practitioner | 15099 State Route 170, East Liverpool, OH 43920-9598 | 2020-10-21 |
| 1881293082 | Sommer Saddler | Nurse Practitioner | 2120 Hampstead Rd, Cleveland Heights, OH 44118-2509 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | LUCASVILLE |
| Zip Code | 45648 |
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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.