WILLIAM BRIAN GREEN (NPI# 1821658865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821658865 |
| Entity Type | Individual |
| Full Name | WILLIAM BRIAN GREEN |
| Practice Address |
113 Pleasant Valley Dr Ste 210 Boerne TX 78006-5683 |
| Mailing Address |
145 Desert Flower Boerne TX 78006-1988 |
| Practice Telephone | 8302674575 |
| Practice Fax Number | 8302674575 |
| Mailing Telephone | 8304466780 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP141283 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 145 Desert Flower, Boerne, TX 780061988 | 8304466780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1285037184 | William Green IIi | Counselor | 3457 Joyce St, Philadelphia, PA 19134-2621 | 2014-10-06 |
| 1669892485 | William Green | Specialist/Technologist | 641 N Cliff St, Carrollton, GA 30117-2207 | 2014-04-19 |
| 1730429663 | William Ellis Green Sr. | Psychologist | 14 Nw Pleasant View Rdg, Lawton, OK 73505-9503 | 2013-03-01 |
| 1528339546 | William Henry Green | Social Worker | 30 Johnson Ave, Cranford, NJ 07016-2639 | 2012-01-23 |
| 1154604023 | William Green | Dentist | 772 S Dora St, Ukiah, CA 95482-5336 | 2011-09-27 |
| 1659542942 | William Thomas Green | Dentist | 13128 Warwick Blvd, Newport News, VA 23602 | 2008-03-14 |
| 1649496480 | William Francis Green | Counselor | 306 E 13th Ave, North Wildwood, NJ 08260-5624 | 2007-04-18 |
| 1811038219 | William Harry Green | Internal Medicine | 103 Mercury Ct, Mukwonago, WI 53149-1714 | 2007-02-09 |
| 1164572202 | William Edward Green Jr. | Chiropractor | 310 Parks Drive, Normandy, TN 37360 | 2007-01-11 |
| Street Address |
113 PLEASANT VALLEY DR STE 210 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415006 | Melinda K Hoffman | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2005-08-25 |
| 1588204077 | Jessica Andrea Henderson | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2020-01-13 |
| 1679124333 | Victor Manuel Armendariz | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-09-24 |
| 1326696485 | Laura Michelle Bauml | Psychologist | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-08-30 |
| 1467010702 | Teresa Beard | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-06-02 |
| 1528623162 | Tammie A Kampa | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006 | 2019-05-09 |
| 1578036026 | Kayla Lien Himphayvanh | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-01-08 |
| 1972072262 | Kathleen M Jordan | Social Worker | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2018-11-16 |
| 1619404795 | Centric Physicians Gulf Region Pllc | Family Medicine | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2017-05-19 |
| 1528419363 | Sherri A Pena | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2016-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| 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 |
|---|---|---|---|---|
| 1528623162 | Tammie A Kampa | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006 | 2019-05-09 |
| 1578036026 | Kayla Lien Himphayvanh | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
| 1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
| 1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
| 1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
| 1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
| 1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
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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.