HEATHER M GREEN


Address: 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476
Phone: 8032529907

HEATHER M GREEN (NPI# 1427355940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427355940
Entity Type Individual
Full Name HEATHER M GREEN
Credential ACNP
Practice Address 121 Park Central Dr
Suite 200
Columbia
SC 29203-6476
Practice Telephone 8032529907
Practice Fax Number 8032529906
Mailing Telephone 8032529907
Mailing Fax Number 8032529906
Enumeration Date 2011-02-18
Last Update Date 2017-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AC4454 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC ACNP LICENSE AC4454 01

Other Providers HEATHER GREEN

NPI Name Taxonomy Address Enumeration
1922534791 Heather Green Registered Nurse 3201 Tulip Dr, Indianapolis, IN 46227-7723 2017-05-11
1457891137 Heather Green Marriage & Family Therapist 3312 Citrus St, Lemon Grove, CA 91945-2217 2017-03-01
1245683176 Heather Nicole Green Pharmacist 230 Lone Pine Dr, Palm Beach Gardens, FL 33410-2467 2016-07-15
1265820690 Heather Green Specialist 4201 Chapman Way, Lake Oswego, OR 97035-5562 2015-01-08
1487693420 Heather C. Green Family Medicine 1325 Triplett St # B, Owensboro, KY 42303-3163 2006-06-05
1407492978 Heather L Green Counselor 2112 Erie Blvd E Ste 200, Syracuse, NY 13224-1041 2019-11-20
1134601164 Heather Green Behavior Technician 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 2018-09-06
1336660042 Heather Nicole Green Speech-Language Pathologist 9508 Griffin Rd, Cooper City, FL 33328-3416 2017-07-03
1013445618 Heather May Green Case Management 1509 1st Ave, Scottsbluff, NE 69361-3106 2017-05-25
1548617186 Heather Lee Green Nurse Practitioner 3997 Beckley Rd, Princeton, WV 24740-7660 2016-05-23

Office Location

Street Address 121 PARK CENTRAL DR
SUITE 200
City COLUMBIA
State SC
Zip Code 29203-6476

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700861093 Howard M Lifland Internal Medicine 121 Park Central Dr, Suite 200, Columbia, SC 29203-6469 2005-12-09
1710345939 Pauline Kubilisz Patel Nurse Practitioner 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 2016-02-02
1649688359 Allison Griffin Clinical Nurse Specialist 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 2014-07-25
1093155384 Demaris Soto Nurse Practitioner 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 2013-07-01
1598091373 Fresenius Medical Care Cna Kidney Centers, LLC Clinic/Center 121 Park Central Dr, Suite 101, Columbia, SC 29203-6469 2009-10-28
1184950388 Meera Patel Suthar Nurse Practitioner 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 2009-10-22
1396983987 Sarah Ashley Ford-sightler Nurse Practitioner 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 2009-02-04
1528210887 Manish Kadian Internal Medicine 121 Park Central Dr, Suite0200, Columbia, SC 29203-6476 2008-10-17
1699942169 David Shure Internal Medicine 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 2008-05-13
1932375631 Marcono Raymond Hines Jr. Internal Medicine 121 Park Central Dr, Suite 200, Columbia, SC 29203-6476 2008-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043671134 Abbey Tapler Nurse Practitioner 9 Richland Med Pk Dr Ste 450, Columbia, SC 29203-6859 2016-03-16
1528428448 Mary Frances Snipes Nurse Practitioner 3 Richland Medical Park Dr., Suite 310, Columbia, SC 29203-6862 2016-03-04
1841659216 Lindsey Culbertson Cossio Nurse Practitioner 121park Central Drive, Suite 200, Columbia, SC 29203-6476 2016-02-15
1386987634 Megan L Stanfill Nurse Practitioner 915 S Garden St, Columbia, TN 38401 2013-04-04
1699015347 Farahnaz Nafisy Nurse Practitioner 3010 Farrow Rd Ste 300, Columbia, SC 29203-7606 2013-02-17
1114270030 Rhonda Lamar Gibson Nurse Practitioner 147 Fox Squirrel Cir, Columbia, SC 29209-4478 2012-10-16
1952675043 Charissa Kirkland Lowe Nurse Practitioner 1614 Main Street Suite C, Ltc Health Solutions, Columbia, SC 29201-2818 2012-03-07
1467741108 Ashley L Chapman Nurse Practitioner 121 Park Central Dr Ste 200, Columbia, SC 29203-6476 2011-04-04
1629001508 Carrie A Miller Nurse Practitioner 706 Ames Dr, Columbia, MO 65201-7571 2006-07-07
1275591687 Beckie Merritt Church Nurse Practitioner 8 Medical Park Rd, Suite 300, Columbia, SC 29203-6864 2006-05-03
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Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

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.

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