CHRISTOPHER GREEN (NPI# 1356793251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356793251 |
Entity Type | Individual |
Full Name | CHRISTOPHER GREEN |
Credential | LAT ATC |
Practice Address |
3816 N Main St Jacksonville FL 32206-1450 |
Practice Telephone | 9046306950 |
Enumeration Date | 2016-07-05 |
Last Update Date | 2016-07-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | AL4362 | FL | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093227027 | Christopher Green | Hearing Instrument Specialist | 29 Park Ridge Dr Ste A, Stevens Point, WI 54481-4438 | 2017-10-31 |
1255787826 | Christopher Green | Student in an Organized Health Care Education/Training Program | 149 26th St Nw, Apt 1206, Atlanta, GA 30309-2065 | 2016-05-12 |
1871984872 | Christopher Isaiah Green | Massage Therapist | 3832 156th St Sw, H305, Lynnwood, WA 98087-8451 | 2015-02-12 |
1245647726 | Christopher Green | Specialist/Technologist | 7437 Wilkins Dr, Fayetteville, NC 28311-9434 | 2014-07-17 |
1184062747 | Christopher Michael Green | Dentist | 19551 Hess Road, Suite 100, Parker, CO 80134 | 2013-06-05 |
1013103811 | Christopher Canfield Green | Family Medicine | 50723 Harbour View Dr S, Med:for, Inc, New Baltimore, MI 48047-4347 | 2007-09-15 |
1518006808 | Christopher John Green | Dentist | 6422 W 107th St, Chicago Ridge, IL 60415 | 2007-02-05 |
1700897774 | Christopher Brian Green | Internal Medicine | 5220 Park Ave Ste 150, Memphis, TN 38119-3548 | 2006-08-11 |
1306812094 | Christopher G Green | Pediatrics | 7985 Stagecoach Rd, Cross Plains, WI 53528-9795 | 2006-02-23 |
1639791387 | Christopher Green | Pharmacist | 110 Irving St Nw, Cancer Institute Room 1219, Washington, DC 20010 | 2020-05-15 |
Street Address |
3816 N MAIN ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32206-1450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790275543 | Marvin Victor Sindel IIi | Nurse Practitioner | 1241 E 8th St, Jacksonville, FL 32206 | 2018-05-17 |
1982126553 | Marcia Camille Holloway | In Home Supportive Care | 647 East 31th Street, Jacksonville, FL 32206 | 2017-07-14 |
1407302656 | Tahnita Fleming | Day Training, Developmentally Disabled Services | 1309 Van Buren Street, Jacksonville, FL 32206 | 2016-08-28 |
1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
1407183965 | Richard Adam Crosby | Chiropractor | 4211 North Pearl St., Jacksonville, FL 32206 | 2009-11-04 |
1346494903 | Delvenia Renee Mitchell | Specialist | 4515 N Pearl St Apt 2, Jacksonville, FL 32206 | 2008-11-10 |
1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
1932253879 | Gale Marie Cohen-weiss | Social Worker | Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 | 2007-01-22 |
1396817557 | Bella Caimol Ejercito | Internal Medicine | 4608 Norwood Ave, Jacksonville, FL 32206 | 2006-11-14 |
1962584433 | Jessica Ivette Warthen | Pharmacist | 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 | 2006-10-20 |
Find all providers in zip 32206 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860711 | Lee Thomas Hagenbaumer | Student in an Organized Health Care Education/Training Program | 10100 Baymeadows Rd Apt 802, Jacksonville, FL 32256-7196 | 2020-10-27 |
1508463456 | Juana Maria Hodac | Student in an Organized Health Care Education/Training Program | 8680 Baymeadows Rd E Apt 1018, Jacksonville, FL 32256-3994 | 2020-10-05 |
1366053043 | Amanda Brunner | Student in an Organized Health Care Education/Training Program | 404 Henry Rd Sw, Jacksonville, AL 36265-3338 | 2020-08-14 |
1528679206 | Deandrea Joice Stowe | Student in an Organized Health Care Education/Training Program | 519 Ladiga St Se, Jacksonville, AL 36265-2691 | 2020-08-14 |
1558970558 | Imran Ahmed Mridha | Student in an Organized Health Care Education/Training Program | 7932 Southside Blvd Apt 2409, Jacksonville, FL 32256-7958 | 2020-07-24 |
1750908588 | Irissel Rodriguez | Student in an Organized Health Care Education/Training Program | 2800 University Blvd S Apt 282, Jacksonville, FL 32216-2587 | 2020-06-27 |
1629692413 | Diana Piotrowski | Student in an Organized Health Care Education/Training Program | 100 Magnolia St Apt 6105, Jacksonville, FL 32204-2256 | 2020-06-08 |
1922622778 | Ryan D'armond Navarre | Student in an Organized Health Care Education/Training Program | 100 Magnolia St Apt 6213, Jacksonville, FL 32204-2257 | 2020-06-07 |
1063036937 | Karen Rebecca Clement | Student in an Organized Health Care Education/Training Program | 4929 Skyway Dr Apt 5212, Jacksonville, FL 32246-0047 | 2020-06-05 |
1134743107 | Christine Lalime | Student in an Organized Health Care Education/Training Program | 220 Riverside Ave Unit 203, Jacksonville, FL 32202-4947 | 2020-06-04 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32206 |
Please comment or provide details below to improve the information on CHRISTOPHER 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.