SHAWNDA GREEN (NPI# 1699255737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699255737 |
| Entity Type | Individual |
| Full Name | SHAWNDA GREEN |
| Credential | LMT |
| Practice Address |
4636 Glissade Dr New Port Richey FL 34652-5319 |
| Mailing Address |
8414 Goldome Dr Port Richey FL 34668-3320 |
| Practice Telephone | 7274953650 |
| Mailing Telephone | 7274953650 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA90312 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4636 GLISSADE DR |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34652-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
| 1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
| 1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
| 1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
| 1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
| 1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
| 1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
| 1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
| 1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
| 1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
| Find all providers in zip 34652 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467065375 | Jennifer Wrublevski | Massage Therapist | 3216 Kismet Ct, New Port Richey, FL 34655-3428 | 2020-08-29 |
| 1255839197 | Heather Ann Slahetka | Massage Therapist | 3621 Spring Valley Dr, New Port Richey, FL 34655-2918 | 2018-01-25 |
| 1225485642 | Veronica Durspek | Massage Therapist | 3401 Mexicali St, New Port Richey, FL 34655-2720 | 2016-05-16 |
| 1306220611 | Darla Stolec | Massage Therapist | 12048 Darwin Avenue, New Port Richey, FL 34654 | 2015-07-16 |
| 1508143454 | Karen H Amundson | Massage Therapist | 2330 Seven Springs Blvd, New Port Richey, FL 34655-3909 | 2011-11-07 |
| 1770881948 | Denise Ann Bruckler | Massage Therapist | 7040 Jasmin Dr, New Port Richey, FL 34652-1328 | 2011-03-11 |
| 1952602294 | Courtney M Atkins | Massage Therapist | 3659 Universal Plz, New Port Richey, FL 34652-6260 | 2010-11-03 |
| 1932420932 | Janet C. Blydenburgh | Massage Therapist | 9117 Ridge Rd, New Port Richey, FL 34654-5059 | 2010-06-14 |
| 1851622955 | Jamie Lee Berger | Massage Therapist | 3501 Seven Springs Blvd, New Port Richey, FL 34655-3134 | 2010-01-29 |
| 1538496468 | Jin Yin Nu | Massage Therapist | 8121 State Road 54, Suite 2, New Port Richey, FL 34655-3000 | 2009-11-13 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
Please comment or provide details below to improve the information on SHAWNDA 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.