AMANDA GREEN (NPI# 1063979078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063979078 |
| Entity Type | Individual |
| Full Name | AMANDA GREEN |
| Credential | QMHS |
| Practice Address |
4895 Dressler Rd Nw Canton OH 44718-2571 |
| Practice Telephone | 3304930083 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1205381290 | Amanda Green | Marriage & Family Therapist | 1885 S Arlington Ave Ste 201, Reno, NV 89509-3377 | 2016-08-18 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1528478443 | Amanda Green | Psychologist | 207 Briggs Dr, Easley, SC 29642-1803 | 2014-04-30 |
| 1396168084 | Amanda Green | Occupational Therapy Assistant | 10 Notch Rd, Adams, MA 01220-1012 | 2014-01-30 |
| 1740529684 | Amanda Green | Pharmacist | 212 Liberty St # 214, Warren, PA 16365-2347 | 2013-02-13 |
| 1588783344 | Amanda Spivey Green | Dentist | 1463 E Main St, Spartanburg, SC 29307-2246 | 2007-03-29 |
| 1578162624 | Amanda Rose Green | Physician Assistant | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2020-10-20 |
| 1477101418 | Amanda Marie Green | Occupational Therapist | 9957 Allisonville Rd, Fishers, IN 46038-2006 | 2019-09-03 |
| 1457905697 | Amanda Marie Green | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-25 |
| Street Address |
4895 DRESSLER RD NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306171038 | Marcie S Girdlestone | Counselor | 4895 Dressler Rd Nw, Canton, OH 44708 | 2009-10-14 |
| 1487292553 | Angela Lynn | Case Manager/Care Coordinator | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-12-19 |
| 1467097964 | Kaylee Krichbaum | Counselor | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-11-08 |
| 1477198950 | Beth Cooney | Case Manager/Care Coordinator | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-11-08 |
| 1629610290 | Cassandra Lopiccolo | Case Manager/Care Coordinator | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-10-15 |
| 1336709179 | Krista Dulaney | Social Worker | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-06-14 |
| 1689231797 | Anna Pisanelli | Counselor | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-05-23 |
| 1942866421 | Rebekah Walker | Social Worker | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-05-10 |
| 1730744061 | Taryne Soukup | Counselor | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-05-02 |
| 1588136592 | Logan Coe | Case Manager/Care Coordinator | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| 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 |
|---|---|---|---|---|
| 1255949475 | Olivia Clare Peer | Case Manager/Care Coordinator | 800 Market Ave N Ste 1600, Canton, OH 44702-2305 | 2020-07-14 |
| 1275154916 | Margaret Speller | Case Manager/Care Coordinator | 626 Walnut Ave Ne, Canton, OH 44702-1081 | 2020-05-05 |
| 1376034728 | Tyreia Louise Grimes | Case Manager/Care Coordinator | 122 Central Plz N Lowr Level, Canton, OH 44702-1448 | 2018-05-22 |
| 1013419084 | Susan Marie Rayner | Case Manager/Care Coordinator | 400 Tuscarawas St W Ste 300, Canton, OH 44702-2044 | 2018-03-06 |
| 1073051272 | R'ajja Lee Turpin-allison | Case Manager/Care Coordinator | 3236 Kalahari St Ne, Canton, OH 44705-3606 | 2017-02-08 |
| 1053863159 | Loralynn Wharton | Case Manager/Care Coordinator | 321 Ironwood St Se, Canton, OH 44707-1458 | 2016-10-25 |
| 1053862151 | Dionna T Stokes-ellis | Case Manager/Care Coordinator | 919 Second St Se, Canton, OH 44704 | 2016-10-24 |
| 1447632120 | Rashan Hall | Case Manager/Care Coordinator | 1321 18th St Ne, Canton, OH 44705-1225 | 2015-06-18 |
| 1639418163 | Marilynn L Farrow | Case Manager/Care Coordinator | 1522 Timber Trce, Canton, GA 30114-8900 | 2013-02-04 |
| 1083974869 | Melinda Miles | Case Manager/Care Coordinator | 311 W. Main Street, Canton, OK 73724 | 2012-05-25 |
| Find all providers in CANTON | ||||
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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.