TRACEY LOUISE GREEN (NPI# 1295136729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295136729 |
| Entity Type | Individual |
| Full Name | TRACEY LOUISE GREEN |
| Credential | PMHNP |
| Practice Address |
882 Oakman Blvd Ste D Detroit MI 48238-4019 |
| Mailing Address |
1501 Krafft Rd Fort Gratiot MI 48059-3565 |
| Practice Telephone | 3139617990 |
| Mailing Telephone | 8109855125 |
| Mailing Fax Number | 8109855127 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704290410 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 38251 S Groesbeck Hwy, Clinton Twp, MI 480361929 | 5864636210 | |
| 1349 S Rochester Rd Ste 220, Rochester Hills, MI 483073153 | 2846506130 | 8109855127 |
| 1501 Krafft Rd, Fort Gratiot, MI 48059 | 8109855125 | 8109855127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431347 | Tracey Olivia Green | Technician | 1324 Ridge Pl Se, Washington, DC 20020-6924 | 2020-06-12 |
| 1265903181 | Tracey Green | Social Worker | 3330 Lomita Boulevard, Torrance Memorial Medical Center Social Services Dept, Torrance, CA 90505-5002 | 2018-12-17 |
| 1629495718 | Tracey Yvette Green | Case Manager/Care Coordinator | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2014-03-26 |
| 1770841710 | Tracey Green | Licensed Practical Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2012-04-27 |
| 1518239789 | Tracey Ann Green | Occupational Therapy Assistant | 7950 Lake Underhill Rd, Orlando, FL 32825 | 2012-02-03 |
| 1467520361 | Tracey G Green | Acupuncturist | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-12-01 |
| 1487631768 | Tracey D Green | Family Medicine | 2345 E Prater Way, Suite 207, Sparks, NV 89434-9600 | 2005-12-28 |
| Street Address |
882 OAKMAN BLVD STE D |
| City | DETROIT |
| State | MI |
| Zip Code | 48238-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558782706 | Samantha Carducci | Social Worker | 882 Oakman Blvd Ste D, Detroit, MI 48238-4019 | 2013-12-13 |
| 1720649726 | Karen Turner - Womack | Social Worker | 882 Oakman Blvd Ste D, Detroit, MI 48238-4019 | 2019-06-21 |
| 1760944318 | Katrina Burley | Social Worker | 882 Oakman Blvd Ste D, Detroit, MI 48238-4019 | 2019-04-03 |
| 1588133466 | Grace Badejo | Registered Nurse | 882 Oakman Blvd Ste D, Detroit, MI 48238-4019 | 2018-11-20 |
| 1518415553 | Linda Floyd | Social Worker | 882 Oakman Blvd Ste D, Detroit, MI 48238-4019 | 2016-09-20 |
| 1366839441 | Kathleen Hines | Social Worker | 882 Oakman Blvd Ste D, Detroit, MI 48238-4019 | 2015-04-16 |
| 1548677214 | Rebecca Earnestine Sutton | Social Worker | 882 Oakman Blvd Ste D, Detroit, MI 48238-4019 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372224 | Cardinal Home Healthcare Group, LLC | Home Health | 3165 Oakman Boulvard, Detroit, MI 48238 | 2018-07-09 |
| 1063963684 | Lydia Adkins | Counselor | 13505 Lasalle St, Apt 305, Detroit, MI 48238 | 2016-10-19 |
| 1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
| 1518413756 | Valarie Grayer - Felton | Case Manager/Care Coordinator | 15941 Fairfield St., Detroit, MI 48238 | 2016-08-28 |
| 1144773722 | Juanna Cherise Hardaway | Case Manager/Care Coordinator | 1935 Pasadena, Detroit, MI 48238 | 2016-07-29 |
| 1336503556 | Gladys S Chambers | Home Health Aide | 15473 Wisconsin, Detroit, MI 48238 | 2016-04-13 |
| 1891158788 | Karla Gill | Licensed Practical Nurse | 153060 Wildemere, Detroit, MI 48238 | 2016-03-30 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508264102 | Sav-med Pharmacy Inc | Pharmacy | 2645 West Davison, Detroit, MI 48238 | 2014-12-12 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| Find all providers in zip 48238 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1821180274 | Carla J Groh | Nurse Practitioner | 5555 Conner, Suite 2691, Detroit, MI 48213 | 2006-09-29 |
| 1124054408 | Patricia Frances Yourchock Orr | Nurse Practitioner | 4464 Burton St, Upper Unit, Detroit, MI 48210-2402 | 2006-06-25 |
| 1720619091 | Sunshine Mental Health Care | Nurse Practitioner | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2020-01-27 |
| 1720621535 | Rebecca Anne Hibbs | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-10-24 |
| 1659895134 | Infinity Hope Center | Nurse Practitioner | 277 Gratiot Ave Ste 100a8919, Detroit, MI 48226-2239 | 2017-07-27 |
| 1942685607 | Eddia Marie Mcdade | Nurse Practitioner | 10 Peterboro St, Detroit, MI 48201-2722 | 2015-07-23 |
| 1043698475 | Karen Ann Wezner | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2015-05-18 |
| 1285023226 | Lauren Krist | Nurse Practitioner | 22151 Moross Rd, Detroit, MI 48236-2167 | 2015-01-14 |
| Find all providers in DETROIT | ||||
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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.