MARY KIMBERLY GREEN (NPI# 1801395967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801395967 |
| Entity Type | Individual |
| Full Name | MARY KIMBERLY GREEN |
| Credential | APRN |
| Practice Address |
1035 Porter Pike Bowling Green KY 42103-9581 |
| Mailing Address |
880 Old Tram Rd Bowling Green KY 42101-9021 |
| Practice Telephone | 2708431199 |
| Mailing Telephone | 2707992268 |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3011907 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173548 | Mary Green | Technician | 1011 Patch St, Beckley, WV 25801-6837 | 2020-08-05 |
| 1003450388 | Mary Elizabeth Green | Licensed Practical Nurse | 650 Highland Ave # 100, Winston Salem, NC 27101-4304 | 2019-10-30 |
| 1861049033 | Mary Elizabeth Green | Technician | 9127 Rt240, West Valley, NY 14171 | 2019-08-22 |
| 1154827350 | Mary Etosha Green | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd Winston Salem, Winston Salem, NC 27157-0001 | 2018-04-05 |
| 1760860456 | Mary Green | Student in an Organized Health Care Education/Training Program | 11655 Briar Forest Dr, 31, Houston, TX 77077-5023 | 2015-05-13 |
| 1073941415 | Mary Fisher Green | Physician Assistant | 1120 15th St # Af-2044, Augusta, GA 30912-3040 | 2013-10-22 |
| 1790031441 | Mary T Green | Home Health Aide | 2419 Adamsway Dr, Aurora, IL 60502-9076 | 2012-07-31 |
| 1659680569 | Mary Elizabeth Green | Social Worker | 400 N Main St Ste 3, Manahawkin, NJ 08050-3730 | 2010-09-27 |
| 1689818411 | Mary Sue Green | Counselor | 8150 Us Highway 287, Childress, TX 79201-7152 | 2009-04-23 |
| 1750524948 | Mary O. Green | Case Manager/Care Coordinator | 7684 Greenridge Ct, Douglasville, GA 30134-3762 | 2009-04-17 |
| Street Address |
1035 PORTER PIKE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-9581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750316501 | Mindy Chandler | Registered Nurse | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2006-07-11 |
| 1457995839 | Johnna Marr | Nurse Practitioner | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2019-10-29 |
| 1366957920 | Lindsay Lee Wheat | Registered Nurse | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2017-12-05 |
| 1487050035 | Melanie Wright | Nurse Practitioner | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2014-11-10 |
| 1386745628 | Norman Leeper | Psychiatry & Neurology | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
| 1851951818 | John Paul Palmer | Nurse Practitioner | 1608 Glendale Dr, Bowling Green, KY 42104-3133 | 2019-06-20 |
| 1710375050 | Cheryl R Gore | Nurse Practitioner | 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 | 2015-01-08 |
| 1427146950 | Cindy S Lemon | Nurse Practitioner | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2006-10-10 |
| 1720616212 | Onyx Regent Health & Wellness, LLC | Nurse Practitioner | 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 | 2020-03-30 |
| 1912545468 | Rachel Elizabeth Roberts | Nurse Practitioner | 1300 Andrea St Ste 205, Bowling Green, KY 42104-3382 | 2019-12-16 |
| 1457995839 | Johnna Marr | Nurse Practitioner | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2019-10-29 |
| 1811549413 | Alicia Velma Karam | Nurse Practitioner | 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 | 2019-07-12 |
| 1679032981 | Gore Behavioral Care, LLC | Nurse Practitioner | 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 | 2019-03-16 |
| 1104358597 | Kentucky Psychiatry, LLC | Nurse Practitioner | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2017-04-03 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on MARY KIMBERLY 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.