MR. GEOFFREY SHELDON GREEN (NPI# 1104225820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104225820 |
| Entity Type | Individual |
| Full Name | MR. GEOFFREY SHELDON GREEN |
| Credential | R.N. |
| Practice Address |
5308 Eastview St Cheyenne WY 82001-2260 |
| Practice Telephone | 3072874951 |
| Practice Fax Number | 3077784386 |
| Mailing Telephone | 3072874951 |
| Mailing Fax Number | 3077784386 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
17869 | WY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | WYOMING STATE BOARD OF NURSING | 17869 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306878533 | Geoffrey Riley Green | Physician Assistant | 1100 West Stewart Drive, Orange, CA 92868-3849 | 2006-07-07 |
| Street Address |
5308 EASTVIEW ST |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831350644 | Sarah Ladale Phillipps | Registered Nurse | 271 Pine Haven Rd, Pine Haven, WY 82721 | 2008-06-24 |
| 1003025073 | Jeneal Denise Swan | Registered Nurse | 1544 S Melrose St, Casper, WY 82601-3985 | 2007-05-22 |
| 1689141277 | Brian Mcgeogh | Registered Nurse | 4585 Fishing Club Dr, Jackson, WY 83001-0015 | 2018-11-01 |
Please comment or provide details below to improve the information on MR. GEOFFREY SHELDON 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.