SUSAN JEANETTE GREENE (NPI# 1609354679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609354679 |
| Entity Type | Individual |
| Full Name | SUSAN JEANETTE GREENE |
| Credential | WHNP-BC, APNP |
| Practice Address |
1017 17th St Monroe WI 53566-2351 |
| Mailing Address |
6286 Prairie Rd Ridgeway WI 53582-9643 |
| Practice Telephone | 6083289500 |
| Practice Fax Number | 6084266466 |
| Mailing Telephone | 6085741544 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
129862-30 | WI | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
8683-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1679572788 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 65 S Elm St, Platteville, WI 538183107 | 6083483915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508203704 | Susan Greene | Physical Therapist | 562 Massachusetts Ave Apt 1, Boston, MA 02118-1457 | 2013-05-29 |
| 1982631040 | Susan A Greene | Nurse Practitioner | 901 Bombay Ln, Roswell, GA 30076-5829 | 2006-06-26 |
| 1184065492 | Susan Michelle Greene | Marriage & Family Therapist | 8911 Lakewood Dr, Suite 24d, Windsor, CA 95492-7856 | 2013-07-15 |
| 1063718187 | Susan Mobley Greene | Obstetrics & Gynecology | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407-3507 | 2011-02-07 |
| 1598932329 | Susan B Greene | Occupational Therapist | 410 Albemarle Sq, Charlottesville, VA 22901-7400 | 2008-05-12 |
| 1275680217 | Susan R Greene | Psychologist | 1801 Bush St, #207, San Francisco, CA 94109-5239 | 2007-01-04 |
| 1750464194 | Susan Lynn Greene | Registered Nurse | 400 E Main St, Mount Kisco, NY 10549-3417 | 2006-10-21 |
| 1346334711 | Susan Marinel Greene | Psychologist | 11100 San Pablo Ave, Suite 216, El Cerrito, CA 94530-2194 | 2006-10-03 |
| 1548271919 | Susan Greene | Nurse Anesthetist, Certified Registered | 63 Barkley Cir, Suite 104, Fort Myers, FL 33907-4514 | 2006-08-11 |
| 1730107384 | Susan G Greene | Nurse Anesthetist, Certified Registered | 737 Broadway N, Fargo, ND 58122-0001 | 2006-07-18 |
| Street Address |
1017 17TH ST |
| City | MONROE |
| State | WI |
| Zip Code | 53566-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| 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 |
|---|---|---|---|---|
| 1861757171 | Melissa Jones Bupp | Nurse Practitioner | 501 Mount Vernon Rd Nw, Monroe, GA 30655-5028 | 2012-07-12 |
| 1093812422 | Sharon Ponty Hill | Nurse Practitioner | 15228 Woods Creek Rd, Monroe, WA 98272-1510 | 2006-09-20 |
| 1235140609 | Angela Maria Greene | Nurse Practitioner | 1404 S Madison Ave, Monroe, GA 30655-2816 | 2006-08-11 |
| 1790748937 | Tina M Smith | Nurse Practitioner | 2014 Tower Dr Ste A, Monroe, LA 71201-5194 | 2006-04-10 |
| 1639132863 | Ann G Jopling | Nurse Practitioner | 312 Grammont St Ste 300, Monroe, LA 71201-7403 | 2006-04-10 |
| 1346867405 | Mary Jans | Nurse Practitioner | 312 Grammont St Ste 300, Monroe, LA 71201-7403 | 2020-07-06 |
| 1104382076 | Kaci J Pearce | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2019-02-15 |
| 1366914269 | Brittney Kerrigan | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2018-12-18 |
| 1902245822 | Linda F Reid | Nurse Practitioner | 2913 Desiard St, Monroe, LA 71201-7207 | 2013-06-25 |
| 1952593378 | Christie Harris Walters | Nurse Practitioner | 312 Grammont St, Ste 300, Monroe, LA 71201-7403 | 2007-08-10 |
| Find all providers in MONROE | ||||
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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.