MRS. STEPHANIE MICHELLE GREEN (NPI# 1962842278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962842278 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE MICHELLE GREEN |
| Credential | FNP-BC |
| Practice Address |
103 Foothills Mall Dr Maryville TN 37801-5513 |
| Mailing Address |
103 W Broadway Ave Maryville TN 37801-4703 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | (865) 273-1752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17744 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 907 E Lamar Alexander Pkwy, Maryville, TN 378045015 | 8659804897 | 8659774796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558983700 | Stephanie Lynn Green | Registered Nurse | 183 Marca Dr, Lucasville, OH 45648-9007 | 2020-05-11 |
| 1447766290 | Stephanie Rae Green | Speech-Language Pathologist | 401 N 30th St, Mount Vernon, IL 62864-2355 | 2017-12-15 |
| 1366895328 | Stephanie Green | Counselor | 554 N Main St Ste 104, South Boston, VA 24592-3283 | 2016-07-14 |
| 1275937443 | Stephanie Green | Speech-Language Pathologist | 525 Hawthorn Cir, Frederick, CO 80530-6009 | 2014-10-17 |
| 1205188224 | Stephanie Renee Green | Foster Care Agency | 1246 Sumner St, Jacksonville, NC 28540-3473 | 2012-10-15 |
| 1629334768 | Stephanie E Green | Licensed Practical Nurse | 175 Fernwood Ave, Syracuse, NY 13205-1438 | 2012-04-03 |
| 1730415928 | Stephanie Green | Internal Medicine | 54 Meadow St Fl 1, New Haven, CT 06519-1719 | 2009-10-23 |
| 1669665824 | Stephanie Anne Green | Pediatrics | 488 Vanderbilt Pkwy, Dix Hills, NY 11746-5853 | 2007-08-21 |
| 1770666505 | Stephanie D. Green | Speech-Language Pathologist | 7706 Abbotsinch Ct, Charlotte, NC 28269-0779 | 2006-10-23 |
| 1942383310 | Stephanie Karahalis Green | Internal Medicine | 45 Gerald Rd, Marblehead, MA 01945-2069 | 2006-10-21 |
| Street Address |
103 FOOTHILLS MALL DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417050121 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2006-09-07 |
| 1508485517 | Kirstyn Houseman | Pharmacist | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2020-04-09 |
| 1376025056 | Miranda Leanne Allen | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2018-08-30 |
| 1689195927 | Ariel P Stakely | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2017-06-27 |
| 1437519873 | Joshua Ray Hilton | Nurse Practitioner | 103 Foothills Mall Dr, Maryville, TN 37801-5513 | 2016-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821600693 | Tonya Ann Bosaw | Nurse Practitioner | 6812 State Route 162 Ste 204, Maryville, IL 62062-8562 | 2020-08-21 |
| 1841815701 | Samantha Mclean | Nurse Practitioner | 2005 Kirkland Blvd, Maryville, TN 37803-3600 | 2020-06-16 |
| 1477102713 | Tammy Ann Buchanon | Nurse Practitioner | 2415 Effler Rd, Maryville, TN 37803-6609 | 2019-09-10 |
| 1316500812 | Caitlyn Michelle Chaires | Nurse Practitioner | 525 W Broadway Ave, Maryville, TN 37801-4782 | 2019-04-19 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1477902708 | Katherine Buckner | Nurse Practitioner | 708 Devictor Dr, Maryville, TN 37801-8666 | 2016-06-07 |
| 1124484415 | Shannon Everett | Nurse Practitioner | 1716 Old Mount Tabor Rd, Maryville, TN 37801-7866 | 2016-01-03 |
| 1952797383 | Amanda Sue Anderson | Nurse Practitioner | 144 Oak Hill Dr, Maryville, IL 62062-6475 | 2015-04-13 |
| 1992194401 | Alyssa R. Loepker | Nurse Practitioner | 6812 State Route 162 Ste 120, Maryville, IL 62062-8586 | 2015-01-21 |
| 1477956076 | Lori B Crisp | Nurse Practitioner | 339 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2014-09-27 |
| Find all providers in MARYVILLE | ||||
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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.