JODI GREEN (NPI# 1679730576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679730576 |
| Entity Type | Individual |
| Full Name | JODI GREEN |
| Credential | ARNP |
| Practice Address |
1000 Crossroads Pl High Ridge MO 63049-2234 |
| Mailing Address |
161 Washington St Eight Tower Bridge, Suite 1400 Conshohocken PA 19428-2083 |
| Practice Telephone | 8668253227 |
| Practice Fax Number | 4844502617 |
| Mailing Telephone | 8668253227 |
| Mailing Fax Number | 4844502617 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
152741 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 152741 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164078440 | Jodi K Green | Chiropractor | 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 | 2019-08-13 |
| 1427350537 | Jodi Green | Massage Therapist | 5015 Tacoma Mall Blvd # 102, Tacoma, WA 98409-7107 | 2010-11-22 |
| 1568678480 | Jodi S Green | Audiologist | 13241 Bartram Park Blvd, Suite 801, Jacksonville, FL 32258-5212 | 2007-05-15 |
| Street Address |
1000 CROSSROADS PL |
| City | HIGH RIDGE |
| State | MO |
| Zip Code | 63049-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992710925 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 Crossroads Pl, High Ridge, MO 63049-2234 | 2006-07-29 |
| 1316558323 | Christina Nguyen | Pharmacist | 1000 Crossroads Pl, High Ridge, MO 63049-2234 | 2020-08-12 |
| 1487195251 | Kathleen Carter | Nurse Practitioner | 1000 Crossroads Pl, High Ridge, MO 63049-2234 | 2017-03-14 |
| 1669757977 | James E Claywell | Pharmacist | 1000 Crossroads Pl, High Ridge, MO 63049-2234 | 2011-10-18 |
| 1255612800 | Amanda Baumann | Pharmacist | 1000 Crossroads Pl, High Ridge, MO 63049-2234 | 2011-09-08 |
| 1447531553 | Orson Johnson | Pharmacist | 1000 Crossroads Pl, High Ridge, MO 63049-2234 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366084766 | Danielle Hawkins | Registered Nurse | 324 Emerson, High Ridge, MO 63049 | 2019-10-17 |
| 1326320672 | Martin Kevin Eresh | Dentist | 1412-a Old Gravois Rd, High Ridge, MO 63049 | 2011-09-13 |
| 1013247048 | Casey Michelle Stoff | Speech-Language Pathologist | 2901 High Ridge Blvd, High Ridge, MO 63049 | 2010-01-14 |
| 1912123050 | Frederick H. Fischer, D.d.s., P.C. | Dentist | 2817 High Ridge Blvd., High Ridge, MO 63049 | 2007-04-17 |
| 1215099072 | Thomas Gerard Monti | Chiropractor | 1600 Gravois, High Ridge, MO 63049 | 2006-12-15 |
| 1578106548 | Melinda Williams | Licensed Practical Nurse | 324 Emerson Rd, High Ridge, MO 63049 | 2019-10-23 |
| 1699318667 | Kimberly Molina | Case Manager/Care Coordinator | 324 Emerson Rd, High Ridge, MO 63049 | 2019-10-23 |
| 1285276949 | Katie Marshall | Case Manager/Care Coordinator | 324 Emerson Rd, High Ridge, MO 63049 | 2019-10-15 |
| 1306322193 | Dylan Anthony Biondo | Pharmacist | 20 Dillon Plaza Dr, High Ridge, MO 63049 | 2018-07-14 |
| 1780955732 | Jena Marie Hudkins | Social Worker | 324 Emerson Rd, High Ridge, MO 63049 | 2012-01-23 |
| Find all providers in zip 63049 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376074054 | Amanda Barich | Nurse Practitioner | 2417 Hillsboro Valley Park Rd, High Ridge, MO 63049-1607 | 2017-03-23 |
| 1790145910 | Jill Ellsworth | Nurse Practitioner | 324 Emerson Rd, High Ridge, MO 63049-2542 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | HIGH RIDGE |
| Zip Code | 63049 |
Please comment or provide details below to improve the information on JODI GREEN.
| 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.