JENNIFER GREEN (NPI# 1730560459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730560459 |
| Entity Type | Individual |
| Full Name | JENNIFER GREEN |
| Practice Address |
610 Russell Rd Caddo OK 74729-1111 |
| Practice Telephone | 5802308945 |
| Practice Fax Number | 9184650301 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service 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 |
610 RUSSELL RD |
| City | CADDO |
| State | OK |
| Zip Code | 74729-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760721294 | Emily Ruth Love | Nurse Practitioner | 128 Buffalo St., Caddo, OK 74729 | 2013-02-04 |
| 1285978007 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-11-16 |
| 1477899532 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-12-18 |
| 1629452933 | Alicia Pettett | Speech-Language Pathologist | 600 S Mcpherren Street, Caddo, OK 74729-0128 | 2015-07-16 |
| 1033251525 | Bryan County School District I5 | Local Education Agency (LEA) | 600 S Mcpheron, Caddo, OK 74729-0128 | 2007-02-13 |
| 1821413501 | Tina Renee Harrison | Nurse Practitioner | 128 Buffalo Stree, Caddo, OK 74729-0146 | 2014-03-04 |
| 1225357858 | Dion Lynore Martin | Counselor | 529 Hope Cir # 17, Caddo, OK 74729-1800 | 2010-05-21 |
| 1053639278 | Dana Melynda Blackwell | Behavioral Analyst | 6544 Nails Crossing Rd, Caddo, OK 74729-2016 | 2010-05-12 |
| 1154733293 | Onesource LLC | Pharmacy | 124 Buffalo St, Caddo, OK 74729-2606 | 2014-05-23 |
| 1033354121 | Kari Kamay Harrison | Registered Nurse | 138 Freeny Valley Rd, Caddo, OK 74729-2607 | 2008-12-04 |
| Find all providers in zip 74729 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598213308 | Alyssa Michelle Hamilton | Case Manager/Care Coordinator | 4036 Caddo Hills Rd, Caddo, OK 74729-3625 | 2016-09-21 |
| 1922447358 | Janet Lee Mcbride | Case Manager/Care Coordinator | 551 W Small Creek Ln, Caddo, OK 74729-5425 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1093316655 | Shaylee Renee Freeman | Case Manager/Care Coordinator | 25285 S Hackamore Rd E, Claremore, OK 74019-2558 | 2020-11-02 |
| 1407456114 | Nicole Roberts | Case Manager/Care Coordinator | 2505 E Hartford Ave Apt 10, Ponca City, OK 74604-3009 | 2020-10-30 |
| 1598365553 | Sherman Julian Riddle | Case Manager/Care Coordinator | 100 W Main St # 4, Pawhuska, OK 74056-4149 | 2020-10-29 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1922608942 | Madison Brianne Boyd | Case Manager/Care Coordinator | 801 Park St, Chelsea, OK 74016-1426 | 2020-10-28 |
| 1376143669 | Taylor Austin Finch | Case Manager/Care Coordinator | 3500 S Peoria Ave, Tulsa, OK 74105-2529 | 2020-10-27 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1679172381 | Leah Rebecca Linton | Case Manager/Care Coordinator | 518 W Park St, Tecumseh, OK 74873-3027 | 2020-10-22 |
| 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.