DR. AMANDA U. GREEN (NPI# 1174939219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174939219 |
| Entity Type | Individual |
| Full Name | DR. AMANDA U. GREEN |
| Credential | DNP,FNP-C |
| Practice Address |
1064 Gardner Rd Ste 105-106 Charleston SC 29407-5768 |
| Mailing Address |
1064 Gardner Rd Ste 105 Charleston SC 29407-5711 |
| Practice Telephone | 8544291175 |
| Practice Fax Number | 8436859467 |
| Mailing Telephone | 8544291175 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
217075 | SC | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 22248 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | SC2315A634 | 01 |
| SC | NP5922 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1205381290 | Amanda Green | Marriage & Family Therapist | 1885 S Arlington Ave Ste 201, Reno, NV 89509-3377 | 2016-08-18 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1528478443 | Amanda Green | Psychologist | 207 Briggs Dr, Easley, SC 29642-1803 | 2014-04-30 |
| 1396168084 | Amanda Green | Occupational Therapy Assistant | 10 Notch Rd, Adams, MA 01220-1012 | 2014-01-30 |
| 1740529684 | Amanda Green | Pharmacist | 212 Liberty St # 214, Warren, PA 16365-2347 | 2013-02-13 |
| 1588783344 | Amanda Spivey Green | Dentist | 1463 E Main St, Spartanburg, SC 29307-2246 | 2007-03-29 |
| 1578162624 | Amanda Rose Green | Physician Assistant | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2020-10-20 |
| 1477101418 | Amanda Marie Green | Occupational Therapist | 9957 Allisonville Rd, Fishers, IN 46038-2006 | 2019-09-03 |
| 1457905697 | Amanda Marie Green | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-25 |
| Street Address |
1064 GARDNER RD STE 105-106 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-5768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124226006 | Douglas Harold Gleaton II | Family Medicine | 1064 Gardner Rd Ste 105-106, Charleston, SC 29407-5768 | 2007-07-03 |
| 1659831246 | Liberty Doctors LLC | Family Medicine | 1064 Gardner Rd Ste 105-106, Charleston, SC 29407-5768 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043842230 | Lisa Ann Hahl | Nurse Practitioner | 30 Courtenay Drive Room 217, Msc 592, Charleston, SC 29425-8911 | 2020-02-06 |
| 1497394290 | Allison Smith | Nurse Practitioner | 1001 Centre Way, Charleston, WV 25309-9427 | 2019-12-27 |
| 1770129553 | Elizabeth Ashley Halicki | Nurse Practitioner | 96 Jonathan Lucas St Ste 420, Charleston, SC 29425-8900 | 2019-11-26 |
| 1144784919 | Danielle Alyssa Paquette | Nurse Practitioner | 30 Courtenay Dr Suite 282 Msc 295, Charleston, SC 29425-0001 | 2019-01-25 |
| 1649752791 | Ashley Catherine Waybright | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 904, Charleston, WV 25304-1234 | 2018-09-05 |
| 1679069090 | Jessica Ueda | Nurse Practitioner | 310 35th St Se Ste 11, Charleston, WV 25304-1352 | 2018-07-09 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1962913038 | Kasey Brown | Nurse Practitioner | 830 Pennsylvania Ave Ste 110, Charleston, WV 25302-3389 | 2017-10-17 |
| 1841700440 | Laura Cunnings | Nurse Practitioner | 202 Georgetown Pl, Charleston, WV 25314-1866 | 2017-10-09 |
| 1386163392 | Primary Care At Home of West Virginia, LLC | Nurse Practitioner | 414 Greenway Ave Ste 201, Charleston, WV 25309-1475 | 2017-09-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on DR. AMANDA U. 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.