MISS NICOLE A GREEN (NPI# 1013268929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013268929 |
| Entity Type | Individual |
| Full Name | MISS NICOLE A GREEN |
| Credential | NP |
| Practice Address |
3800 St Mary Dr Suite 103 Valparaiso IN 46383-7502 |
| Practice Telephone | 2194642123 |
| Practice Fax Number | 2194650032 |
| Mailing Telephone | 2194642123 |
| Mailing Fax Number | 2194650032 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2013-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28171988A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004197A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926618 | Nicole Camille Green | Counselor | 33 Arthur Ave Apt 20, East Providence, RI 02914-4020 | 2020-09-10 |
| 1902259328 | Nicole Green | Contractor | 2985 Juniper Hills Blvd Unit 202, Las Vegas, NV 89142-2961 | 2016-07-20 |
| 1548638869 | Nicole Hoff Green | Nurse Practitioner | 2989 Caledonia St, Marianna, FL 32446-3005 | 2015-09-02 |
| 1083002430 | Nicole Renee Green | Veterinarian | 14370 Parallel Rd, Basehor, KS 66007-3004 | 2015-01-07 |
| 1891115531 | Nicole Cara Green | Counselor | 9950 Sw Landau Pl, Tigard, OR 97223-1013 | 2014-04-21 |
| 1740893478 | Nicole Dawn Green | Behavior Technician | 300 International Pkwy Ste 200, Lake Mary, FL 32746-5028 | 2020-08-24 |
| 1174144273 | Nicole Green | Pharmacist | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2020-04-29 |
| 1053873786 | Nicole E Green | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2019-04-02 |
| 1932628880 | Nicole A Green | Behavior Technician | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2017-09-12 |
| 1043736101 | Nicole Rene Green | Occupational Therapist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2017-08-20 |
| Street Address |
3800 ST MARY DR SUITE 103 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578790481 | Bernadette A Obmaces | Family Medicine | 3800 St Mary Dr, Suite 204, Valparaiso, IN 46383-7502 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436330 | Angela Nicole Demorotski | Nurse Practitioner | 2301 Nottingham Dr, Valparaiso, IN 46383-9182 | 2020-01-24 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1154834372 | Victoria Marie Schwarten | Nurse Practitioner | 2307 Laporte Ave Suite 8, Valparaiso, IN 46383 | 2017-11-09 |
| 1083081129 | Juana Maria Ambriz De Williams | Nurse Practitioner | 2005 Valparaiso St Ste 210, Valparaiso, IN 46383-3329 | 2015-08-24 |
| 1205124179 | Kelley L Eshenaur | Nurse Practitioner | 55 University Drive, Suite 102, Valparaiso, IN 46383 | 2011-07-13 |
| 1972731883 | Marty Lee Walker | Nurse Practitioner | 444 Valparaiso Pkwy, Bld C, Valparaiso, FL 32580-1206 | 2009-06-30 |
| 1023277738 | Chrysanthemum M Davis | Nurse Practitioner | 1551 South Sturdy Rd., Valparaiso, IN 46383-7883 | 2008-06-06 |
| 1831317809 | Elise Marta Alverson | Nurse Practitioner | 1406 Laporte Ave, Valparaiso University Health Center, Valparaiso, IN 46383 | 2007-04-23 |
| 1275669079 | Jayne Lee Targgart | Nurse Practitioner | 909 Tiller Dr, Valparaiso, IN 46385-1304 | 2007-02-26 |
| 1376601963 | Margaret Marie Sabo | Nurse Practitioner | 2803 Boilermaker Ave, 1f, Valparaiso, IN 46383-8412 | 2006-12-05 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on MISS NICOLE A 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.