MRS. UTHONA RENEE GREEN (NPI# 1164676821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164676821 |
| Entity Type | Individual |
| Full Name | MRS. UTHONA RENEE GREEN |
| Credential | CNS |
| Practice Address |
4100 W 3rd St Dayton OH 45428-9000 |
| Mailing Address |
2525 S Park Ln Centerville OH 45458-9386 |
| Practice Telephone | 9372686511 |
| Mailing Telephone | 9372686511 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2008002822 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4100 W 3RD ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45428-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496549 | Andrew T Su | Internal Medicine | 4100 W 3rd St, Dayton, OH 45428-9000 | 2005-06-09 |
| 1578162038 | Olivia Marie Falter | Audiologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-25 |
| 1295334084 | Sarah M Miller | Music Therapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-22 |
| 1366049918 | Chadwick Ryan Watiker | Social Worker | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-10-07 |
| 1174137301 | Danielle Marie Pike | Psychologist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-09-04 |
| 1497368856 | Dinah Callender | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-08-26 |
| 1801405352 | Alice Wei Ho | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-29 |
| 1801413356 | Sarah Teresa Hierath | Pharmacist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-07-01 |
| 1942823349 | Sloane Rudolf | Optometrist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-20 |
| 1720600331 | James Douglas Boodt | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063626935 | Cheryl Lynn Rawe | Clinical Nurse Specialist | 414 Amy Ct, Dayton, OH 45415-2101 | 2007-05-10 |
| 1467838896 | Sharon Mechelle Lahm | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409-2722 | 2015-08-07 |
| 1700274347 | Young Un Kim | Clinical Nurse Specialist | 30 E Apple St, Ste 5254a, Dayton, OH 45409-2939 | 2015-01-06 |
| 1386040061 | Staci Elaine Shields | Clinical Nurse Specialist | 30 E Apple St, Ste 5254a, Dayton, OH 45409-2939 | 2014-11-07 |
| 1285057588 | John Sillman | Clinical Nurse Specialist | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2014-01-23 |
| 1841631629 | Julie Stachler Neff | Clinical Nurse Specialist | 30 E Apple St, Suite 5254a, Dayton, OH 45409-2939 | 2013-07-09 |
| 1588000103 | Cynthia Louise Ballard | Clinical Nurse Specialist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2013-05-22 |
| 1063753150 | Gregory Sanchez | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-03-14 |
| 1144561903 | Lisa Renee Meiring | Clinical Nurse Specialist | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-03-04 |
| 1235403395 | Sara D Krumlauf | Clinical Nurse Specialist | 1 Wyoming St, Ste. 4490, Dayton, OH 45409-2722 | 2012-03-06 |
| Find all providers in DAYTON | ||||
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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.