MRS. JAIME M GREEN (NPI# 1861448102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861448102 |
| Entity Type | Individual |
| Full Name | MRS. JAIME M GREEN |
| Other Name | MRS. JAIME M GREEN |
| Credential | APRN/CNP |
| Practice Address |
632 W Gibson Rd Woodland CA 95695-5169 |
| Practice Telephone | 5306682605 |
| Mailing Telephone | 5306682605 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP20468 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTITIONER | NP20468 | 01 |
| CA | FURNISHING LICENSE | 20468 | 01 |
| CA | RN LICENSE | 552312 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124438494 | Jaime Green | Case Manager/Care Coordinator | 2345 Nw 111th St, Oklahoma City, OK 73120-7215 | 2014-05-07 |
| 1225037864 | Jaime Racine Green | Physical Therapist | 350 Iron St, Negaunee, MI 49866-1830 | 2005-07-15 |
| 1790990976 | Jaime S Green | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2007-05-11 |
| Street Address |
632 W GIBSON RD |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695-5169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780665166 | Kathryn A. Glatter | Internal Medicine | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2005-11-10 |
| 1871050542 | Nou Thao | Pharmacy Technician | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2019-02-28 |
| 1154885515 | Laura Mazza | Nurse Practitioner | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2019-01-29 |
| 1114426327 | Uyen Phuong Nguyen-sharma | Nurse Practitioner | 632 W Gibson Rd, Woodland, CA 95695 | 2018-02-03 |
| 1922519222 | Sarah Leslie Thrasher | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-10-13 |
| 1760916274 | Melody W Steeples | Dietitian, Registered | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-04-12 |
| 1184160301 | Aleksandr Palenyy | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-01-11 |
| 1770039828 | Kristen J Rewick | Registered Nurse | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2016-08-29 |
| 1023480159 | Isaac Dominguez | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2015-10-28 |
| 1174928253 | Lonna Marie Hampton | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2014-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
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| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
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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.