JESSICA GREEN (NPI# 1811300510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811300510 |
| Entity Type | Individual |
| Full Name | JESSICA GREEN |
| Practice Address |
1800 Mercy Dr Suite 302 Orlando FL 32808-5646 |
| Practice Telephone | 4078753700 |
| Practice Fax Number | 4075224671 |
| Mailing Telephone | 4078753700 |
| Mailing Fax Number | 4075224671 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN9303454 | FL | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9303454 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780108670 | Jessica J Green | Speech-Language Pathologist | 3021 Hickory St, Saint Louis, MO 63104-1818 | 2017-08-01 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1972976223 | Jessica Green | Dietitian, Registered | 1424 Freshwater Ct, Wake Forest, NC 27587-6262 | 2015-11-09 |
| 1215352901 | Jessica Green | Obstetrics & Gynecology | 2700 Sorority Ln, Holt, MI 48842-8744 | 2014-03-04 |
| 1336487818 | Jessica Marie Green | Massage Therapist | 236 Wayne St, Sandusky, OH 44870-2637 | 2013-01-17 |
| 1073861571 | Jessica Erin Green | Pharmacist | 969 Miles Rd, Lufkin, TX 75901-2119 | 2012-08-15 |
| 1114247590 | Jessica M Green | Counselor | 301 Robb St, Summit, MS 39666-7053 | 2010-06-08 |
| 1669610069 | Jessica Green | Speech-Language Pathologist | 6161 S 33rd West Ave Ste 105, Tulsa, OK 74132-1502 | 2009-01-23 |
| 1417108218 | Jessica P Green | Behavioral Analyst | 1659 E Draper Cir, Mesa, AZ 85203-6628 | 2008-10-10 |
| 1821283078 | Jessica Green | Student in an Organized Health Care Education/Training Program | 5124 Sw View Point Ter, Portland, OR 97239-3908 | 2007-09-11 |
| Street Address |
1800 MERCY DR SUITE 302 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32808-5646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046764 | Francis Ernest Bruno | Obstetrics & Gynecology | 1800 Mercy Dr, Suite 200, Orlando, FL 32808-5646 | 2005-07-11 |
| 1225636806 | Nathalie Darbouze | Case Manager/Care Coordinator | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2020-10-15 |
| 1114524352 | Lynnette Perez | Counselor | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2020-10-01 |
| 1982210449 | Colleen Ward | Counselor | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2020-09-21 |
| 1316552417 | Emily Joanne Musuras | Case Manager/Care Coordinator | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2020-09-15 |
| 1356965412 | Mencia Joseph | Marriage & Family Therapist | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2020-06-04 |
| 1770105215 | Jessica Cosme | Technician | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2020-05-07 |
| 1205456225 | Christy Opont | Case Manager/Care Coordinator | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2020-04-20 |
| 1578199105 | Antony Morata | Technician, Other | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2020-03-16 |
| 1629602214 | Joshua Allton | Counselor | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403082 | Ikeshia K Herbert | Home Health | 2048 Mercy Drive Apt 302, Orlando, FL 32808 | 2020-10-02 |
| 1811522691 | Lorraine Viviene Bromfield Alleyne | In Home Supportive Care | 3536 Pine Ridge Court, Orlando, FL 32808 | 2020-03-11 |
| 1750913760 | 2 God B Thy Glory 4 Healing Angels | Respite Care | 5553 #1 Springhill Dr, Orlando, FL 32808 | 2020-02-07 |
| 1720620537 | Tamara Jefferson | Occupational Therapist | 5164 Clarion Oaks Drive, Orlando, FL 32808 | 2019-10-14 |
| 1750851341 | Gladys Joseph | Nurse's Aide | 805 Terry Lynn Drive, Orlando, FL 32808 | 2018-11-27 |
| 1720566110 | Circle of Friends Assisted Living Facility | Assisted Living Facility | 3708 Meadow Brook Ave, Orlando, FL 32808 | 2018-07-30 |
| 1407342322 | Camha P Nguyen | Dentist | 2619 Greenfield Ave, Orlando, FL 32808 | 2018-07-03 |
| 1568964039 | Keep A Kid On Track | Counselor | 623 Pine Hill Road, Orlando, FL 32808 | 2018-03-01 |
| 1629507074 | Janelle Manning | Nurse's Aide | 5030 Rosamond Drive, Apt 2712, Orlando, FL 32808 | 2017-06-08 |
| 1770018137 | Andrew Owen | Chiropractor | 822 Mercy Dr, Orlando, FL 32808 | 2017-04-24 |
| Find all providers in zip 32808 | ||||
| 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 |
|---|---|---|---|---|
| 1629691225 | Julianne Kay Fountain | Nurse Practitioner | 6068 S Apopka Vineland Rd Ste 3, Orlando, FL 32819-4449 | 2020-05-19 |
| 1326675646 | Tanisha Cieply | Nurse Practitioner | 12632 Innovation Falls Dr Unit 305, Orlando, FL 32828-7581 | 2020-03-25 |
| 1114487089 | Ruben Aquino Tobillo Jr. | Nurse Practitioner | 2743 Northampton Ave, Orlando, FL 32828-7910 | 2019-03-25 |
| 1700344686 | Orville Vincent Murray Jr. | Nurse Practitioner | 11576 Petite Promenade Lane, Orlando, FL 32832-5138 | 2019-03-09 |
| 1629516398 | A New Path In Christian Couseling,inc | Nurse Practitioner | 1140 S Semoran Blvd Ste C, Orlando, FL 32807-1459 | 2017-02-02 |
| 1487002978 | Willem Limage | Nurse Practitioner | 5838 Manchester Bridge Dr, Orlando, FL 32829-8830 | 2016-05-25 |
| 1003298035 | Natacha Smith | Nurse Practitioner | 2423 W Sand Lake, Orlando, FL 32809-4094 | 2015-06-26 |
| 1770976698 | Growing Mind Health and Wellness | Nurse Practitioner | 9340 Mustard Leaf Dr, Orlando, FL 32827-7082 | 2015-03-17 |
| 1073744470 | A New Path In Christian Counseling, Inc. | Nurse Practitioner | 5575 S Semoran Blvd Ste 509, Orlando, FL 32822-1733 | 2009-08-03 |
| 1174639066 | William Howard Fite | Nurse Practitioner | 2508 Marzel Ave, Orlando, FL 32806-5705 | 2006-08-22 |
| Find all providers in ORLANDO | ||||
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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.