SHANNON MARIE GREEN


Address: 1 Hospital Dr, Columbia, MO 65212-1001
Phone: 5738822100

SHANNON MARIE GREEN (NPI# 1750995270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750995270
Entity Type Individual
Full Name SHANNON MARIE GREEN
Credential MSN, APRN
Practice Address 1 Hospital Dr
Columbia
MO 65212-1001
Mailing Address 203 W Alhambra Dr
Columbia
MO 65203-4907
Practice Telephone 5738822100
Mailing Telephone 8018218102
Enumeration Date 2020-09-02
Last Update Date 2020-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 2020005249 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers SHANNON GREEN

NPI Name Taxonomy Address Enumeration
1194245969 Shannon Laray Green Counselor 3800 Dalecrest Dr Unit 2109, Las Vegas, NV 89129-1769 2017-06-22
1760910079 Shannon Green Social Worker 401 Whitney Ave Ste 320, Gretna, LA 70056-2502 2017-05-31
1942434295 Shannon Green Licensed Practical Nurse 821 N Main Rd Apt 45a, Vineland, NJ 08360-8219 2009-05-14
1720254261 Shannon Becker Green Obstetrics & Gynecology 5215 Loughoro Road Nw, Suite 500, Washington, DC 20016-2633 2008-05-05
1609070572 Shannon Green Marriage & Family Therapist 1055 El Camino Dr, F-100, Costa Mesa, CA 92626-5574 2007-06-13
1164573275 Shannon Green Nutritionist 1011 Ingleside Ave, Catonsville, MD 21228-1318 2007-01-15
1992772073 Shannon Green Nurse Practitioner 2 Innovation Drive, Suite 140, Greenville, SC 29605-5263 2006-03-07
1427618412 Shannon Green Behavior Technician 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 2019-06-20
1811550999 Shannon Green Student in an Organized Health Care Education/Training Program 112 Squire Hall, Buffalo, NY 14214-8006 2019-04-15
1528588605 Shannon J Green Chiropractor 636 W Broadway St, North Little Rock, AR 72114-5526 2017-06-21

Office Location

Street Address 1 HOSPITAL DR
City COLUMBIA
State MO
Zip Code 65212-1001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720081508 Michael S Brown Anesthesiology 1 Hospital Dr, Columbia, MO 65212-0001 2005-05-24
1639770928 Kelsey Loethen Nurse Practitioner 1 Hospital Dr, Columbia, MO 65212-1000 2020-11-04
1750995718 Hilary Anna Felice Orthopaedic Surgery 1 Hospital Dr, Columbia, MO 65212-1000 2020-09-06
1992319628 Mahmoud A Ali Psychiatry & Neurology 1 Hospital Dr, Columbia, MO 65212-1000 2020-09-01
1538777644 Komal Ijaz Pathology 1 Hospital Dr, Columbia, MO 65212-1000 2020-07-15
1649898859 Iwalewa Olowoporoku Psychiatry & Neurology 1 Hospital Dr, Columbia, MO 65201-5276 2020-07-14
1821616509 Bryce Hoelscher Student in an Organized Health Care Education/Training Program 1 Hospital Dr, Columbia, MO 65201-5276 2020-07-09
1770100026 Parker Trent Russell Internal Medicine 1 Hospital Dr, Columbia, MO 65212-1000 2020-07-02
1548887896 Jacqueline E Santamarina Internal Medicine 1 Hospital Dr, Columbia, MO 65212-1000 2020-07-02
1518584937 John Michael Rockett Internal Medicine 1 Hospital Dr, Columbia, MO 65212-1000 2020-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225594112 Hee Young Lee Student in an Organized Health Care Education/Training Program 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 2019-02-15
1093200966 Alexander John Lubinski Radiology 1 Hospital Drive Dco6910, Columbia, MO 65212 2018-06-24
1235638156 Jami Bates Physician Assistant University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 2018-02-06
1124554589 John Wuennenberg Student in an Organized Health Care Education/Training Program 1020 Hitt St 2nd Floor, Columbia, MO 65212 2017-05-04
1336672005 William Paul Christensen Physical Medicine & Rehabilitation One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 2017-04-09
1881127108 Kelli Danielle Bryant Student in an Organized Health Care Education/Training Program 1020 Hitt St 2nd Florr, Columbia, MO 65212 2017-04-04
1952832859 Juhi Koolwal Radiology 1 Hospital Dirve Ddc06910, Columbia, MO 65212 2017-03-22
1518319136 Joseph Patrick Herbert Neurological Surgery One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 2016-07-07
1407207319 Jesse Schmid Otolaryngology One Hosital Dr Ma314, Columbia, MO 65212 2016-06-22
1508216920 David Koch Radiology 1 Hospital Drive, Dc06910, Columbia, MO 65212 2016-06-16
Find all providers in zip 65212

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841806551 Pamela Louise Smith Nurse Practitioner 1605 E Broadway Ste 100, Columbia, MO 65201-8023 2020-09-17
1518572353 Lucretia D Sanders Nurse Practitioner 4201 Grand St Apt L, Columbia, SC 29203-6668 2020-09-09
1629698485 Abigayle Idora Colon Nurse Practitioner 55 Burnett Rd, Columbia, KY 42728-9441 2020-04-22
1245864321 Mh Health Care Services, PC Nurse Practitioner 400 Laurel St Lowr Level, Columbia, SC 29201-2281 2020-02-27
1649801994 Jennifer Turner Nurse Practitioner 1220 Hardison Rd, Columbia, TN 38401-1350 2020-01-27
1700429453 Tyease Mosley Nurse Practitioner 4611 Hard Scrabble Rd Ste 189, Columbia, SC 29229-8584 2019-10-25
1164985834 Rameka M Reed Nurse Practitioner 2301 Blue Ridge Ter, Columbia, SC 29203-1303 2019-04-10
1366917924 Brittney Nichole Frazier Nurse Practitioner 3020 Sunset Blvd West Columbia Sc 29169, Columbia, SC 29203-2920 2018-10-10
1295224871 Palmetto Health - University of South Carolina Medical Group Nurse Practitioner 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 2018-05-09
1730698580 Jennifer Moon Bailey Nurse Practitioner 237 Longtown Rd, Columbia, SC 29229-8550 2017-09-25
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 65212

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Dataset Information

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.

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