COLLEEN M GREEN (NPI# 1598390791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598390791 |
| Entity Type | Individual |
| Full Name | COLLEEN M GREEN |
| Credential | PMHNP-BC |
| Practice Address |
1260 S Campbell Ave Green Valley AZ 85614-0504 |
| Mailing Address |
6450 W Blue Star Dr Tucson AZ 85757-8496 |
| Practice Telephone | 5204075600 |
| Mailing Telephone | 5202606763 |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
239266 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1260 S Campbell Ave, Green Valley, AZ 856140504 | 5204075600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578856761 | Colleen Adams Green | Pharmacist | 810 E 29th Ave, Spokane, WA 99203-3219 | 2011-05-19 |
| 1053442129 | Colleen W. Green | Physician Assistant | Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 22908-0001 | 2007-03-08 |
| Street Address |
1260 S CAMPBELL AVE |
| City | GREEN VALLEY |
| State | AZ |
| Zip Code | 85614-0504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992787790 | Donald R Smith | Family Medicine | 1260 S Campbell Ave, Building 2, Green Valley, AZ 85614-0503 | 2005-11-17 |
| 1568017945 | Erica Anne Smith | Physician Assistant | 1260 S Campbell Ave, Green Valley, AZ 85614-0504 | 2019-08-02 |
| 1326419847 | Antionette Nmn Dennis-todd | Nurse Practitioner | 1260 S Campbell Ave, Uchc Continental Family Medical Center, Green Valley, AZ 85614-0503 | 2015-10-09 |
| 1861874224 | Nancy Olvera | Nurse Practitioner | 1260 S Campbell Ave, Green Valley, AZ 85614-0503 | 2015-06-22 |
| 1982014684 | Arturo Jose Sosa | Dentist | 1260 S Campbell Ave, Green Valley, AZ 85614-0503 | 2014-05-02 |
| 1245655711 | Jacqueline Gomez | Nurse Practitioner | 1260 S Campbell Ave, Building 2, Green Valley, AZ 85614-0503 | 2014-02-20 |
| 1447699962 | Kimberly Burton | Nurse Practitioner | 1260 S Campbell Ave, #2, Green Valley, AZ 85614-0503 | 2013-06-18 |
| 1275715286 | United Community Health Center - Maria Auxiliadora, Inc. | Clinic/Center | 1260 S Campbell Ave, Building 1, Green Valley, AZ 85614-0503 | 2007-11-30 |
| 1609057223 | United Community Health Center - Maria Auxiliadora, Inc. | Clinic/Center | 1260 S Campbell Ave, Building 2, Green Valley, AZ 85614-0503 | 2007-11-26 |
| 1487844395 | Soni Elizabeth Stake | Internal Medicine | 1260 S Campbell Ave, Suite 4020, Green Valley, AZ 85614-0503 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773791 | Medavail Pharmacy Inc. | Pharmacy | 5750 S Turquoise Canyon Dr, Green Valley, AZ 85614 | 2019-04-29 |
| 1447742788 | Shanae Murphy | Nurse Practitioner | 1260 S Campbell Ave Unit 2, Green Valley, AZ 85614 | 2018-06-02 |
| 1487173332 | Chirocade, Inc. | Chiropractor | 380 W Vista Hermosa Dr., Ste # 100, Green Valley, AZ 85614 | 2017-09-12 |
| 1922536150 | Melinda Suzanne Prado | Dental Hygienist | 1260 S Campbell Rd Bldg 2, Green Valley, AZ 85614 | 2017-06-01 |
| 1295274579 | Nitika Sharma | Dentist | Dental Village, 140 W Duval Mine Rd, Green Valley, AZ 85614 | 2017-02-19 |
| 1508212960 | Amy Priftakis | Nurse Practitioner | 4455 N I-19 Frontage Rd., Green Valley, AZ 85614 | 2016-05-04 |
| 1730547134 | Cope Community Services, Inc. | Psychiatry & Neurology | 1660 W Commerce Point Pl, Green Valley, AZ 85614 | 2016-02-01 |
| 1548656457 | Southern Arizona Sleep Solutions | Durable Medical Equipment & Medical Supplies | 261 W Duval Road, Green Valley, AZ 85614 | 2015-04-08 |
| 1770978041 | Empower Green Valley Pllc | Emergency Medicine | 4455 S. I-19 Frontage Road, Greenvalley, AZ 85614 | 2015-04-02 |
| 1295125078 | Gv Hospital Management LLC | General Acute Care Hospital | 4455 South I-19 Frontage Road, Green Valley, AZ 85614 | 2015-01-30 |
| Find all providers in zip 85614 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881240760 | Pool of Bethesda Psychiatric Health LLC | Nurse Practitioner | 210 W Continental Rd Ste 216b, Green Valley, AZ 85622-3596 | 2019-08-15 |
| 1639634777 | Stephanie Funmilayo Hancock | Nurse Practitioner | 210 W Continental Rd Ste 216b, Green Valley, AZ 85622-3596 | 2019-02-03 |
| 1417480427 | Lindsay Ann Bouchard | Nurse Practitioner | 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614-0502 | 2017-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
| 1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | GREEN VALLEY |
| Zip Code | 85614 |
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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.