PHYLLIS LAVERN GREEN (NPI# 1902082035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902082035 |
| Entity Type | Individual |
| Full Name | PHYLLIS LAVERN GREEN |
| Credential | RN |
| Practice Address |
10 Rachel Ct Little Rock AR 72206-5409 |
| Practice Telephone | 2144387765 |
| Practice Fax Number | 5018471100 |
| Mailing Telephone | 2144387765 |
| Mailing Fax Number | 5018471100 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | R65718 | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558331439 | Phyllis R Green | Nurse Practitioner | 3425 1st Ave Se, Suite 100, Cedar Rapids, IA 52402-6155 | 2006-01-24 |
| 1902308240 | Phyllis Green | Counselor | 2780 Sw 37th Ave Ste 206, Coconut Grove, FL 33133-2740 | 2018-03-02 |
| 1790909695 | Phyllis Louise Green | Counselor | 8026 Lorraine Ave, Suite 201, Stockton, CA 95210-4224 | 2007-04-12 |
| Street Address |
10 RACHEL CT |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72206-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944698 | Rachael Lynette Perkins | Pharmacist | 4301 Atwood Rd, Little Rock, AR 72206 | 2019-07-22 |
| 1669826954 | Caeb Investments Inc. | Pharmacy | 11200 Arch Street, Little Rock, AR 72206 | 2016-04-22 |
| 1871991158 | Jill Ashley | Case Manager/Care Coordinator | 19825 Jones Rd, Little Rock, AR 72206 | 2014-12-18 |
| 1568718930 | Matthew Reel | Social Worker | 2100 South Gaines St., Little Rock, AR 72206 | 2012-08-03 |
| 1255616363 | Heidi C Tramel | Pharmacist | 1100 E Roosevelt Rd (kroger Pharmacy), Little Rock, AR 72206 | 2011-10-20 |
| 1518289198 | Casey Renae Tisdale | Speech-Language Pathologist | 1616 S. Spring St., Little Rock, AR 72206 | 2010-02-23 |
| 1578713277 | Robert Earl Pruitt Jr. | Social Worker | 2200 Fort Root Dr., North Little Rock, AR 72206 | 2008-09-30 |
| 1063634285 | The Arc Arkansas | Day Training, Developmentally Disabled Services | 2004 S. Main Street, Little Rock, AR 72206 | 2007-05-03 |
| 1942352596 | Tomie Mccall Jr. | Dentist | 721 East 21st Street, Little Rock, AR 72206 | 2007-01-16 |
| 1366530883 | Central Arkansas Veterans Healthcare System | Chronic Disease Hospital | 1321 West Charles Bussey Ave., Little Rock, AR 72206 | 2006-10-10 |
| Find all providers in zip 72206 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803988 | M-pacting Youth and Families Inc | Case Manager/Care Coordinator | 4001 Cobb St, Little Rock, AR 72204-7444 | 2019-04-18 |
| 1568921211 | Derrick Hunter | Case Manager/Care Coordinator | 10025 W. Markham St Ste 150, Little Rock, AR 72205-2178 | 2019-03-12 |
| 1447720115 | Leslie Ross | Case Manager/Care Coordinator | 1 Lile Ct Ste 201, Little Rock, AR 72205-6242 | 2018-11-26 |
| 1740785823 | Lataveya Vault | Case Manager/Care Coordinator | 10025 W Markham St Ste 150, Little Rock, AR 72205-1416 | 2018-03-29 |
| 1346759982 | Rekia Shanette Porchia | Case Manager/Care Coordinator | 61 Purdue Cir, Little Rock, AR 72204-5949 | 2017-09-27 |
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1639616162 | Jasmine Ford | Case Manager/Care Coordinator | 1100 N. University, 200, Little Rock, AR 72207-3549 | 2017-01-23 |
| 1447709639 | Cecil Ray Chew Jr. | Case Manager/Care Coordinator | 5 Falcon Ct Apt 4, Little Rock, AR 72210-4425 | 2016-09-28 |
| 1508310038 | Tennille Hill | Case Manager/Care Coordinator | 5517 Western Ln, Little Rock, AR 72209-1957 | 2016-08-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72206 |
Please comment or provide details below to improve the information on PHYLLIS LAVERN 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.