ELAINE GREEN (NPI# 1720452295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720452295 |
Entity Type | Individual |
Full Name | ELAINE GREEN |
Credential | RN |
Practice Address |
11643 Clearwater Dr Fenton MI 48430-8610 |
Practice Telephone | 8102525529 |
Mailing Telephone | 8102525529 |
Enumeration Date | 2015-11-21 |
Last Update Date | 2015-11-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 4704172993 | MI | Nursing Service Providers |
N | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704172993 | MI | Nursing Service Providers |
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704172993 | MI | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063607810 | Elaine R Green | Nurse Practitioner | 5645 Main St, Flushing, NY 11355-5045 | 2007-09-13 |
1710195409 | Elaine Green | Social Worker | 853 Broadway, New York, NY 10003 | 2007-05-18 |
1073628863 | Elaine Reeves Green | Psychiatry & Neurology | 14150 Parkeast Cir Ste 200, Chantilly, VA 20151-2295 | 2006-08-20 |
1295717288 | Elaine Marie Green | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2005-11-16 |
Street Address |
11643 CLEARWATER DR |
City | FENTON |
State | MI |
Zip Code | 48430-8610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
Find all providers in zip 48430 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154946705 | Ahuva Lakier | Registered Nurse | 15895 Harden Cir, Southfield, MI 48075-3042 | 2020-06-09 |
1891351540 | Frederick Patrick | Registered Nurse | 2864 125th Ave, Allegan, MI 49010-9276 | 2019-05-17 |
1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
1275003113 | Cathleen Brooks | Registered Nurse | 1200 N Telegraph Rd # 32, Pontiac, MI 48341-1032 | 2018-12-04 |
1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
1780168856 | Alison Male | Registered Nurse | 530 W Oldfield St, Alpena, MI 49707-1810 | 2018-09-24 |
1508346800 | Colleen Botos | Registered Nurse | 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 | 2018-08-16 |
1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
1083131924 | Kristen Lynn Little | Registered Nurse | 3726 Spruce Run, White Lake, MI 48383-3523 | 2017-08-22 |
1396269379 | Emily Elisabeth Ann Pawlowski | Registered Nurse | 12021 Cardwell St, Livonia, MI 48150-2355 | 2017-08-01 |
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.