TRINA SHERRINE GREEN (NPI# 1669086765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669086765 |
| Entity Type | Individual |
| Full Name | TRINA SHERRINE GREEN |
| Other Name | MRS. TRINA SHERRENE GREEN |
| Practice Address |
17304 Ne 114th Ave Waldo FL 32694-4220 |
| Practice Telephone | 3525148535 |
| Mailing Telephone | 3525148535 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457904120 | Trina Green | Counselor | 6410 Emerald Dunes Dr Apt 202, West Palm Beach, FL 33411-2757 | 2019-07-22 |
| Street Address |
17304 NE 114TH AVE |
| City | WALDO |
| State | FL |
| Zip Code | 32694-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588086169 | Jose Dell | Licensed Practical Nurse | 14401 Ne 153rd Ave, Apt. 21, Waldo, FL 32694-4020 | 2014-01-15 |
| 1124403803 | Jose Melecio Dell Sr. | Licensed Practical Nurse | 14401 Ne 153rd Ave, Apartment 21, Waldo, FL 32694-4020 | 2015-07-23 |
| 1811129240 | Lisa L Faulk | Specialist | 14020 Ne County Road 1471, Waldo, FL 32694-4504 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024495 | Jody Lynn Burri | Registered Nurse | N3183 Mill Rd, Waldo, WI 53093-1426 | 2020-08-18 |
| 1801450549 | Kacie Marie Robichaux | Physical Therapy Assistant | 161 Columbia Road 53, Waldo, AR 71770-9670 | 2019-04-29 |
| 1932590619 | James Deprey | Contractor | 4295 Groll Rd, Waldo, OH 43356-9119 | 2015-02-17 |
| 1033526264 | Naomi Marie Dewalt | Home Health Aide | 1587 Waterville Rd, Waldo, ME 04915-3222 | 2014-07-21 |
| 1760894141 | Matthew Langheld | Physical Therapy Assistant | 168 Columbia Road 78, Waldo, AR 71770-8983 | 2014-05-20 |
| 1588086169 | Jose Dell | Licensed Practical Nurse | 14401 Ne 153rd Ave, Apt. 21, Waldo, FL 32694-4020 | 2014-01-15 |
| 1619309606 | Jewel Byron Grimmett, Jr. Jr. | General Practice | 1011 N. Olive St., Waldo, AR 71770 | 2013-08-01 |
| 1073954491 | Brenda Jean Roehrborn Dorau | Licensed Practical Nurse | W5502 State Road 28, Waldo, WI 53093-1208 | 2013-07-14 |
| 1578833687 | Karen Denise Lewis | Occupational Therapy Assistant | 211 Columbia Road 104, Waldo, AR 71770 | 2012-01-05 |
| 1326326851 | Tracy Lee Kriegel | Registered Nurse | W5474 County Road F, Waldo, WI 53093-1615 | 2011-08-02 |
| Find all providers in WALDO | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192419 | Nyesha Isons | Adult Companion | 4835 48th St W Apt 513, Bradenton, FL 34210-2862 | 2020-10-24 |
| 1215536305 | Yolanda M Orr | Adult Companion | 1401 Marathon Key Dr Apt 103, Tampa, FL 33612-3650 | 2020-10-20 |
| 1871192187 | Yterria Mcgee | Adult Companion | 1202 N 29th St Apt 93, Fort Pierce, FL 34947-2230 | 2020-10-19 |
| 1316545544 | Hero Senior Care LLC | Adult Companion | 5231 Sw 152nd Ct, Miami, FL 33185-4110 | 2020-10-10 |
| 1821696089 | Audriana Clark | Adult Companion | 7333 Pine Forest Rd Lot 70, Pensacola, FL 32526-3910 | 2020-10-10 |
| 1154937969 | Lashonda Grice Velazquez | Adult Companion | 702 N 19th St, Palatka, FL 32177-3070 | 2020-09-17 |
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1447865639 | Yaimara Cruz | Adult Companion | 14400 Sw 79th Ct, Palmetto Bay, FL 33158-2019 | 2020-09-14 |
| 1275148082 | Latangela Shonta Vassel | Adult Companion | 1104 Bartow Rd Apt N163, Lakeland, FL 33801-5826 | 2020-09-09 |
| 1235743147 | Quanteria Mccaskill | Adult Companion | 116 Little Acres Dr, Palatka, FL 32177-4137 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.