JENNIFER LOUISE GREEN (NPI# 1649570219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649570219 |
| Entity Type | Individual |
| Full Name | JENNIFER LOUISE GREEN |
| Credential | NP |
| Practice Address |
1600 S Lake Park Ave Ste 1103 Hobart IN 46342-6641 |
| Practice Telephone | 2199476448 |
| Practice Fax Number | 2199476839 |
| Mailing Telephone | 2199476448 |
| Mailing Fax Number | 2199476839 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2011-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71003567A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205249 | Jennifer Moody Green | Licensed Vocational Nurse | 16418 Brookford Dr, Houston, TX 77059-4707 | 2019-10-03 |
| 1003478801 | Jennifer C Green | Nurse Practitioner | 838 E 625 S, Layton, UT 84041-4300 | 2019-07-01 |
| 1568946978 | Jennifer Dean Green | Day Training/Habilitation Specialist | 523 2nd St E, Scott City, MO 63780-2418 | 2018-09-20 |
| 1134608458 | Jennifer Green | Occupational Therapy Assistant | 448 Pendrey Dr, Port Orange, FL 32127-9528 | 2018-08-08 |
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1154833747 | Jennifer Green | Acupuncturist | 5000 Davis Ln Ste 106, Austin, TX 78749-3802 | 2017-11-03 |
| 1376097071 | Jennifer Green | Nurse Practitioner | 199 Douglas Dr, Hallsville, TX 75650-7321 | 2016-08-10 |
| 1982091849 | Jennifer Hannah Green | Social Worker | 11511 Douglas Ave, Apt. 206, Huntley, IL 60142-7187 | 2015-04-17 |
| 1174921357 | Jennifer Green | Contractor | 2253 Calvert St, Virginia Beach, VA 23451-1739 | 2014-12-20 |
| 1023439122 | Jennifer Michelle Green | Speech-Language Pathologist | 7055 Mexico Road Suite 1601, St. Peters, MO 63376-9998 | 2013-12-17 |
| Street Address |
1600 S LAKE PARK AVE STE 1103 |
| City | HOBART |
| State | IN |
| Zip Code | 46342-6641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356306799 | Mohamed F Zeitoun | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-04-19 |
| 1336457225 | St Mary Medical Center Inc | Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-09-14 |
| 1598070617 | Munster Medical Research Foundation Inc | Neurological Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-08-12 |
| 1811177785 | Spinal & Neurosurgical Institute P.C. | Neurological Surgery | 1600 S Lake Park Ave, Ste 1102, Hobart, IN 46342-6641 | 2007-11-08 |
| 1598818270 | Mark A Simaga | Neurological Surgery | 1600 S Lake Park Ave, Suite 1102, Hobart, IN 46342-6641 | 2007-01-18 |
| 1619986379 | Advanced Endocrinology and Diabetes Center | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-08-05 |
| 1972545804 | Barbara L Fuller | Internal Medicine | 1600 S Lake Park Ave, Suite1101, Hobart, IN 46342-6641 | 2006-06-12 |
| 1386686145 | Monroe Medical Associates, Sc | Internal Medicine | 1600 S Lake Park Ave, Suite 1101, Hobart, IN 46342-6641 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770117673 | Katheryn Dee Ziron | Nurse Practitioner | 7781 E Ridge Rd Ste B, Hobart, IN 46342-2487 | 2020-02-28 |
| 1225510951 | Stacy Lynn Taylor | Nurse Practitioner | 2211 E 10th St # Street14, Hobart, IN 46342-5313 | 2018-08-29 |
| 1568943231 | Shanon Lee Mekola | Nurse Practitioner | 6195 Marcella Blvd, Hobart, IN 46342-0040 | 2018-08-22 |
| 1841455318 | Julie Hatch Burk | Nurse Practitioner | 2211 E 10th St, Brickie Community Health Clinic, Hobart, IN 46342-5313 | 2008-07-24 |
| 1437155694 | Amy F Sims | Nurse Practitioner | 407 W Forest Ln, Hobart, OK 73651-1645 | 2005-06-22 |
| 1780297457 | Banesa Chavez | Nurse Practitioner | 6195 Marcella Blvd, Hobart, IN 46342-0040 | 2020-08-24 |
| 1063042513 | Jillian Rose Finley | Nurse Practitioner | 174 Bracken Pkwy, Hobart, IN 46342-6789 | 2020-01-23 |
| 1275006819 | Courtney Miller | Nurse Practitioner | 7875 Grand Blvd, Hobart, IN 46342-6665 | 2019-01-07 |
| 1689145567 | Christina M Korem | Nurse Practitioner | 320 W 61st Ave, Hobart, IN 46342-6490 | 2018-12-17 |
| 1255816567 | Victoria Tiemens | Nurse Practitioner | 101 W 61st Ave, Hobart, IN 46342-6449 | 2018-10-02 |
| Find all providers in HOBART | ||||
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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.