DOUGLAS KEITH GREEN (NPI# 1841584471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841584471 |
| Entity Type | Individual |
| Full Name | DOUGLAS KEITH GREEN |
| Credential | RN |
| Practice Address |
5965 S 900 E Salt Lake City UT 84121-1720 |
| Practice Telephone | 8012637100 |
| Mailing Telephone | 8012637100 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 7856839-3102 | UT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588072797 | Douglas Andrew Green | Counselor | 677 S 7th Ave, Mount Vernon, NY 10550-4825 | 2014-07-31 |
| 1205119195 | Douglas Green | Physical Therapist | 16819 S Dupont Hwy, Ste 500, Harrington, DE 19952-3192 | 2011-09-27 |
| 1376822445 | Douglas Green | Counselor | 8715 Plantation Ln, Ste 301 A, Manassas, VA 20110-8323 | 2011-08-08 |
| 1437323698 | Douglas Green | Counselor | 1011 Goodrich Blvd, Los Angeles, CA 90022-5102 | 2008-04-18 |
| 1972614717 | Douglas Green | Dentist | 10729 Town Square Dr Ne, #150, Blaine, MN 55449 | 2006-08-31 |
| 1609129246 | Douglas Green | Behavioral Analyst | 1516 E Tropicana Ave Ste 137, Las Vegas, NV 89119-6552 | 2012-10-19 |
| 1790018596 | Douglas Koakane Green | Chiropractor | 75-5852 Alii Dr, Suite 166, Kailua Kona, HI 96740-1310 | 2009-09-10 |
| 1164635173 | Douglas Allen Green | Radiology | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2007-05-07 |
| 1699806216 | Douglas Green | Rehabilitation Practitioner | 14535 Sherman Cir, Van Nuys, CA 91405-3087 | 2007-03-07 |
| 1306901723 | Douglas O. Green | Psychiatry & Neurology | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-12-26 |
| Street Address |
5965 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745301 | Debra Lynn Falvo | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2005-10-24 |
| 1376908087 | Alyssa Milne | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-12-22 |
| 1053776138 | Rachel Feinberg | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-12-16 |
| 1174997894 | April Madsen | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-18 |
| 1639542608 | Lauren Carah Christensen | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-12 |
| 1154794725 | Claire Nitz | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-11-04 |
| 1063884427 | Jannah Lee Faumuina | Social Worker | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-26 |
| 1215309901 | Joni Whitaker | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-21 |
| 1295107076 | Anisa Plastow | Social Worker | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-20 |
| 1891166658 | Jennifer Wallace | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006678 | Michelle Pineda | Registered Nurse | 2672 S Glenmare St, Salt Lake City, UT 84106-3606 | 2020-08-31 |
| 1982228276 | Rebecca Cuniberti | Registered Nurse | 3247 E 3925 S, Salt Lake City, UT 84124-2147 | 2020-06-02 |
| 1992329288 | Willard Robert Davis | Registered Nurse | 2150 S Main St Ste 406, Salt Lake City, UT 84115-2678 | 2020-06-02 |
| 1255955571 | Molly C Asper | Registered Nurse | 1170 E Westminster Ave Apt A, Salt Lake City, UT 84105-3514 | 2020-06-02 |
| 1538783949 | Stacie Michelle Ireland | Registered Nurse | 3402 E Stonehill Ln, Salt Lake City, UT 84121-5864 | 2020-06-01 |
| 1518509637 | Connie Russell | Registered Nurse | 1205 E Bonner Way, Salt Lake City, UT 84117-4917 | 2019-10-09 |
| 1578115903 | Jennifer Renea Mccullough | Registered Nurse | 667 S 900 E, Salt Lake City, UT 84102-3418 | 2019-07-16 |
| 1497307979 | Josephine Fulmer | Registered Nurse | 265 E Hubbard Ave, Salt Lake City, UT 84111-4615 | 2019-07-15 |
| 1437701885 | Mikyla Davis | Registered Nurse | 6896 S Greenfield Way, Salt Lake City, UT 84121-3015 | 2019-07-15 |
| 1477115491 | Joseph Alexander Weimer | Registered Nurse | 2079 S 1200 E Unit 409, Salt Lake City, UT 84105-3584 | 2019-06-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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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.