MS. KELLIE GREEN (NPI# 1215204086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215204086 |
| Entity Type | Individual |
| Full Name | MS. KELLIE GREEN |
| Credential | R.D.H. |
| Practice Address |
2073 Olympic St Springfield OR 97477-3413 |
| Practice Telephone | 5416823550 |
| Mailing Telephone | 5416823550 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H6106 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912143512 | Kellie Elizabeth Green | Speech-Language Pathologist | 5920 Wilcox Pl, Suite E, Dublin, OH 43016-6802 | 2009-01-02 |
| Street Address |
2073 OLYMPIC ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230051 | Sharon R Levine | Family Medicine | 2073 Olympic St, Springfield, OR 97477-3413 | 2005-07-22 |
| 1003413758 | Frances K Moore | Licensed Practical Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-10-06 |
| 1730794538 | Daisy Ojeda | Licensed Practical Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-09-09 |
| 1659998854 | Lauren Davis | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-07-03 |
| 1942820618 | Shannan Rene Healy | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-04-22 |
| 1225664709 | Drew Watts | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2020-03-17 |
| 1144867615 | Heather Lynne Woodward | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-12-04 |
| 1780230961 | Breanna Mariah Tupper | Peer Specialist | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-08-14 |
| 1972164671 | Jaime Nicole Cosci | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-06-24 |
| 1346706389 | Benjamin Andrew Rosenberger | Registered Nurse | 2073 Olympic St, Springfield, OR 97477-3413 | 2019-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1437506482 | Albert Evans | Dental Hygienist | 1230 Piedmont St, Springfield, OR 97477-2609 | 2016-05-19 |
| 1770981821 | Daniel Warner | Dental Hygienist | 4955 S National Ave, Springfield, MO 65810-2989 | 2014-12-05 |
| 1437561321 | Jennifer Elizabeth Inman | Dental Hygienist | 4825 Camellia St, Springfield, OR 97478-6753 | 2014-05-27 |
| 1114353901 | Cinda Holaday | Dental Hygienist | 1137 S 45th St, Springfield, OR 97478-7539 | 2013-09-24 |
| 1144564808 | Chelsea Baker | Dental Hygienist | 734 N 66th St, Springfield, OR 97478-7110 | 2012-11-19 |
| 1275804528 | Naiya M Cirillo | Dental Hygienist | 38 Brunswick St, Springfield, MA 01108-2814 | 2012-01-18 |
| 1902115983 | Lilliane Marie Kemp | Dental Hygienist | 38708 Natures Garden St, Springfield, OR 97478-9655 | 2010-09-24 |
| 1679105357 | Cynthia Lynn Packard | Dental Hygienist | 900 Church St, Springfield, CO 81073-1636 | 2020-02-10 |
| 1336785971 | Megan Danielle Kindernay | Dental Hygienist | 2633 Chatham Rd, Springfield, IL 62704-4185 | 2019-11-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
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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.