DR. AMANDA B GREENE (NPI# 1083040562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083040562 |
| Entity Type | Individual |
| Full Name | DR. AMANDA B GREENE |
| Credential | DNP, NP-C |
| Practice Address |
625 S Pear Orchard Rd Ste B Ridgeland MS 39157-4836 |
| Practice Telephone | 6014990282 |
| Practice Fax Number | 6014990347 |
| Mailing Telephone | 6014990282 |
| Mailing Fax Number | 6014990347 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
870536 | MS | Allopathic & Osteopathic Physicians |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
870536 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE PTAN | P01627831 | 01 |
| MS | 08800015 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1295215028 | Amanda Greene | Occupational Therapy Assistant | 3617 Ohare Drive, Mequite, TX 75150 | 2018-08-21 |
| 1265917629 | Amanda Greene | Dietitian, Registered | 3377 Riverbend Dr, Springfield, OR 97477 | 2018-10-01 |
| 1275915928 | Amanda Greene | Anesthesiology | 200 Hawkins Dr, Dept of Anesthesia, Iowa City, IA 52242-1009 | 2015-06-18 |
| 1124350970 | Amanda Greene | Physical Therapist | 1576 Merritt Blvd, Baltimore, MD 21222-2132 | 2010-02-04 |
| 1437225901 | Amanda Ren'a Greene | Occupational Therapist | 800 Volunteer Dr, Paris, TN 38242-5472 | 2006-11-28 |
| 1538179833 | Amanda R Greene | Nurse Practitioner | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-08-09 |
| Street Address |
625 S PEAR ORCHARD RD STE B |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811060544 | Tolley Valerie | Durable Medical Equipment & Medical Supplies | 625 S Pear Orchard Rd, Ridgeland, MS 39157-4836 | 2006-11-17 |
| 1104201789 | Health Care Medical | Home Infusion | 625 S Pear Orchard Rd, Suite A, Ridgeland, MS 39157-4836 | 2015-07-24 |
| 1407104391 | Valerie Harden | Durable Medical Equipment & Medical Supplies | 625 S Pear Orchard Rd, Ridgeland, MS 39157-4836 | 2012-08-27 |
| 1205900958 | Advanced Medical, Inc. | Durable Medical Equipment & Medical Supplies | 625 S Pear Orchard Rd, Suite B, Ridgeland, MS 39157-4836 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457504300 | Ramona M Pinckney | Nurse Practitioner | 721 Okatie Highway 170, Ridgeland, SC 29936-2605 | 2008-10-23 |
| 1083106116 | Michelle Hughes | Nurse Practitioner | 768 Avery Blvd N, Ridgeland, MS 39157-5219 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421746 | Rebecca Mcwhirter | Nurse Practitioner | 1512 Roswell Dr, Jackson, MS 39211-5928 | 2020-06-08 |
| 1548896301 | Rochelle Vanity Cork | Nurse Practitioner | 4635 Us-80, Pearl, MS 39208 | 2020-03-12 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1104387695 | Chatina Spears Martin | Nurse Practitioner | 308 Melba Hill Dr, Jackson, MS 39209-2833 | 2019-03-27 |
| 1366915886 | Rockell Ann Pearl Singleton | Nurse Practitioner | 6490 U S Highway 49 Apt 277, Hattiesburg, MS 39401-3013 | 2019-01-08 |
| 1326513920 | Jacquelyn Bruner Ray | Nurse Practitioner | 6102 11th Ave, Meridian, MS 39305-1219 | 2018-10-10 |
| 1487162319 | Mary Melvin Smith | Nurse Practitioner | 107 Cannon Run, Canton, MS 39046-8033 | 2018-01-12 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1417467168 | Jason Michael Butler | Nurse Practitioner | 129 Center St Ste B, Richland, MS 39218-4800 | 2017-10-09 |
| 1780125302 | Debra Brown Willis | Nurse Practitioner | 216 Belle Oak Dr, Brandon, MS 39042-8251 | 2017-03-15 |
| Find all providers with the same taxonomy | ||||
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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.