MS. TIERRA S GREEN (NPI# 1144839101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144839101 |
| Entity Type | Individual |
| Full Name | MS. TIERRA S GREEN |
| Other Name | TIERRA S GREEN |
| Practice Address |
2702 W Surrey Dr North Charleston SC 29405-5513 |
| Practice Telephone | 8438176803 |
| Mailing Telephone | 8438176803 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
76417 | SC | Other Service Providers |
| Street Address |
2702 W SURREY DR |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033742 | Antonio Lamar Rivers | Specialist | 2702 W Surrey Dr, North Charleston, SC 29405-5513 | 2020-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766746 | April Tolbert | Specialist | 5101 Ashley Phosphate Rd Ste 113, North Charleston, SC 29418-2826 | 2019-08-19 |
| 1053978270 | Tyehimba Salim Grant Amar Bey | Specialist | 4591 Dorchester Rd, North Charleston, SC 29405-6846 | 2019-05-22 |
| 1699233254 | Tierra Miller | Specialist | 4135 Rivers Ave Ste A, North Charleston, SC 29405-6633 | 2019-03-03 |
| 1912386251 | Nykeshia Monique Footman | Specialist | 5837 Dorchester Rd, North Charleston, SC 29418-5301 | 2015-05-19 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1861894610 | Audrey Ravenell | Specialist | 5060 Dorchester Rd, North Charleston, SC 29418-5603 | 2014-09-24 |
| 1164033742 | Antonio Lamar Rivers | Specialist | 2702 W Surrey Dr, North Charleston, SC 29405-5513 | 2020-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212583 | Morcia K Bradley | Specialist | 6800 Shakespeare Rd Ste D, Columbia, SC 29223-7512 | 2020-10-16 |
| 1306464532 | Joanna Allen-gibbs II | Specialist | 6340 Nakia Dr, Rembert, SC 29128-8820 | 2020-07-14 |
| 1316563877 | Stephanie D. Hamilton | Specialist | 37 Willis St S, Yemassee, SC 29945-2420 | 2020-06-21 |
| 1851927750 | Sharika D Harley | Specialist | 1572 Sam Rittenberg Blvd, Charleston, SC 29407-4105 | 2020-03-23 |
| 1629618251 | Keatley Miller | Specialist | 800 John B White Blvd, Spartanburg, SC 29306-4043 | 2020-01-12 |
| 1821636184 | Arkeem Green | Specialist | 215 Pine Shadow Dr, Goose Creek, SC 29445-4662 | 2019-12-18 |
| 1942848643 | Tamara Lynette Waters | Specialist | 10050 Two Notch Rd Ste 7, Columbia, SC 29223-4302 | 2019-12-13 |
| 1871130690 | Tonya Haynes Brown | Specialist | 1224 Broad River Rd, Columbia, SC 29210-7619 | 2019-12-01 |
| 1043855976 | Changes Styling Salon | Specialist | 1256 W Main St, Dillon, SC 29536-7926 | 2019-11-14 |
| 1508409897 | Tiana Tylei Goodman-walker | Specialist | 1825 Saint Julian Pl Apt 9b, Columbia, SC 29204-2483 | 2019-10-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on MS. TIERRA S 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.