KAREN SUE GREEN (NPI# 1104346774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104346774 |
| Entity Type | Individual |
| Full Name | KAREN SUE GREEN |
| Practice Address |
200 Wilson Cir Boulder City NV 89005-4401 |
| Practice Telephone | 7022947100 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457974636 | Karen Elizabeth Green | Social Worker | 757 Mountainwater Dr, Charlotte, NC 28262-4340 | 2020-05-22 |
| 1619513397 | Karen Shepherd Green | Home Health Aide | 2946 N Martha Ave, Lakeland, FL 33805-2240 | 2019-11-18 |
| 1710443882 | Karen D Green | Specialist | 923 E 217th St, Bronx, NY 10469-1002 | 2019-02-13 |
| 1700386216 | Karen Green | Speech-Language Pathologist | 9431 Windy Spring Ln, Houston, TX 77089-2285 | 2018-02-20 |
| 1689974362 | Karen Anne Green | Dentist | 1607 E Rainforest Rd, Fayetteville, AR 72703 | 2010-10-27 |
| 1184933947 | Karen M Green | Psychologist | 38 Stewart Ave., Stewart Manor, NY 11530 | 2010-09-28 |
| 1609049915 | Karen J Green | Counselor | 3870 Desmarais Rd, Moxee, WA 98936-9718 | 2008-04-08 |
| 1962538629 | Karen M. Green | Psychologist | 1632 44th St Nw, Washington, DC 20007-2051 | 2007-02-26 |
| 1104976398 | Karen S. Green | Audiologist-Hearing Aid Fitter | 1954 Kresge Dr, Amherst, OH 44001-1256 | 2007-01-11 |
| 1548375330 | Karen Jane Green | Chiropractor | 2853 37th Ave S, Minneapolis, MN 55406-1717 | 2006-08-20 |
| Street Address |
200 WILSON CIR |
| City | BOULDER CITY |
| State | NV |
| Zip Code | 89005-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710222815 | Laura Lynn Rivera | Counselor | 200 Wilson Cir, Boulder City, NV 89005 | 2012-11-30 |
| 1144829276 | Moriah Taylor | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-10-20 |
| 1497354534 | Amy Nyberg | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-10-20 |
| 1417563685 | Emma Grace Steenerson | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-22 |
| 1871109058 | Felisha Conner | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-22 |
| 1780290965 | Scot Anthony Conner | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-22 |
| 1821603598 | Morgan Samantha Wixom | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-10 |
| 1770198459 | Chesstine Gaulding | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-10 |
| 1346855020 | Darrell Cecil Gaulding | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-10 |
| 1730703190 | Geneva Austin | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763119 | Hitesh R Amin | Pharmacist | Sav-on Pharmacy, 1008 Nevada Way, Boulder City, NV 89005 | 2020-06-08 |
| 1871013086 | Wesley King | Rehabilitation Practitioner | 200 Wilson Circle, Boulder, NV 89005 | 2017-06-20 |
| 1568998714 | Bailey Godfrey | Registered Nurse | 1401 Pueblo Drive, Boulder City, NV 89005 | 2017-05-10 |
| 1972970127 | Elizabeth Anne Jones | Counselor | 202 Rainier Court, Boulder City, NV 89005 | 2015-08-24 |
| 1871913855 | Joy Reynolds | Rehabilitation Practitioner | 100 St. Jude's Street, Boulder City, NV 89005 | 2014-04-17 |
| 1467723528 | Sandra Lee Miller | Community Health Worker | 659 Ave. H, Boulder City, NV 89005 | 2012-01-21 |
| 1689959272 | Eliscia Wight | Pharmacist | 101 E. Lake Mead Pkwy, Henderson, NV 89005 | 2011-10-15 |
| 1285876706 | National Park Service | Ambulance | 601 Nevada Hwy, Boulder City, NV 89005 | 2009-03-30 |
| 1861614679 | Rickey L. Smith | Pharmacist | 1008 Nevada Highway, Boulder City, NV 89005 | 2007-05-02 |
| 1841264082 | Kathy F Jensen | Social Worker | 916 Nevada Highway, #3, Boulder City, NV 89005 | 2006-02-15 |
| Find all providers in zip 89005 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689036204 | Alana Dowling | Rehabilitation Practitioner | 100 St Jude's Street, Boulder City, NV 89006-0100 | 2016-03-23 |
| 1871913855 | Joy Reynolds | Rehabilitation Practitioner | 100 St. Jude's Street, Boulder City, NV 89005 | 2014-04-17 |
| 1376977363 | Haley Brook Albin | Rehabilitation Practitioner | 1434 Pueblo Dr, Boulder City, NV 89005-3207 | 2013-08-26 |
| 1952733172 | Sean Dame | Rehabilitation Practitioner | 1330 Georgia Ave Apt 204, Boulder City, NV 89005-3520 | 2013-07-31 |
| 1144829276 | Moriah Taylor | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-10-20 |
| 1497354534 | Amy Nyberg | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-10-20 |
| 1417563685 | Emma Grace Steenerson | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-22 |
| 1871109058 | Felisha Conner | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-22 |
| 1780290965 | Scot Anthony Conner | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-22 |
| 1821603598 | Morgan Samantha Wixom | Rehabilitation Practitioner | 200 Wilson Cir, Boulder City, NV 89005-4401 | 2020-09-10 |
| Find all providers in BOULDER CITY | ||||
| City | BOULDER CITY |
| Zip Code | 89005 |
Please comment or provide details below to improve the information on KAREN SUE 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.