KATHLEEN R GREEN (NPI# 1477079069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477079069 |
| Entity Type | Individual |
| Full Name | KATHLEEN R GREEN |
| Credential | NP |
| Practice Address |
6408 Copps Ave Monona WI 53716-3702 |
| Mailing Address |
202 S Park St Madison WI 53715-1507 |
| Practice Telephone | 6084173000 |
| Practice Fax Number | 6084173300 |
| Mailing Telephone | 6084176000 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
9014 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9002 Culebra Rd # 100, San Antonio, TX 782512873 | 2105388386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005985 | Kathleen Mary Green | Occupational Therapist | 152 Tutera Ct, Warnerville, NY 12187-2519 | 2018-12-19 |
| 1598152415 | Kathleen Green | Massage Therapist | 91 Cook Hill Rd, Yakima, WA 98908-8500 | 2015-04-17 |
| 1518110956 | Kathleen Marie Green | Speech-Language Pathologist | 215 Beach 127th St, Belle Harbor, NY 11694-1728 | 2008-10-29 |
| 1285821033 | Kathleen M. Green | Physical Therapist | 2700 Wynfield Rd, West Friendship, MD 21794-9519 | 2007-09-26 |
| 1932129210 | Kathleen Marie Green | Physician Assistant | 227 Adams Rd, Williamstown, MA 01267-2932 | 2006-07-20 |
| 1154383271 | Kathleen Roman Green | Social Worker | 485 Mansfield Ave, Pittsburgh, PA 15205-4350 | 2006-04-04 |
| 1225667330 | Kathleen Rose Green | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-02 |
| 1144850025 | Kathleen Green | Social Worker | 5021 E Trindle Rd, Mechanicsburg, PA 17050-3528 | 2020-01-20 |
| 1376948059 | Kathleen Green | Counselor | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2014-10-24 |
| 1487893616 | Kathleen Adele Green | Obstetrics & Gynecology | 1600 Sw Archer Rd, Box 100294, Gainesville, FL 32610-0294 | 2009-02-11 |
| Street Address |
6408 COPPS AVE |
| City | MONONA |
| State | WI |
| Zip Code | 53716-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619231 | Melissa S Grimm | Internal Medicine | 6408 Copps Ave, Monona, WI 53716-3702 | 2005-09-14 |
| 1538631940 | Sara Marshall | Registered Nurse | 6408 Copps Ave, Monona, WI 53716-3702 | 2018-12-24 |
| 1851876841 | Abbie Elizabeth Treiber | Registered Nurse | 6408 Copps Ave, Monona, WI 53716-3702 | 2018-09-26 |
| 1265801542 | Sara Pagels | Physical Therapy Assistant | 6408 Copps Ave, Monona, WI 53716-3702 | 2015-09-17 |
| 1245633841 | Elizabeth Teresa Villagran | Speech-Language Pathologist | 6408 Copps Ave, Monona, WI 53716-3702 | 2014-09-27 |
| 1326455353 | Naomi Lever | Audiologist | 6408 Copps Ave, Monona, WI 53716-3702 | 2014-07-22 |
| 1326357682 | Victoria Schwartz Hurwitz | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2010-10-04 |
| 1780810911 | Kristina Marie Russell | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2009-06-02 |
| 1639304140 | Julie A Becker | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2009-05-28 |
| 1164687984 | Ashley Katherine Laha | Physician Assistant | 6408 Copps Ave, Monona, WI 53716-3702 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159964 | Caitlin West | Nurse Practitioner | 10823 N Ravine Ct, Mequon, WI 53092-5876 | 2020-06-18 |
| 1639704166 | Angelica Shanahan | Nurse Practitioner | 8733 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-04 |
| 1609408210 | Jenna Rae Eisold | Nurse Practitioner | 65 W Wood Ridge Dr, River Falls, WI 54022-8291 | 2020-02-11 |
| 1639685274 | Laura Palmer | Nurse Practitioner | 4855 S Moorland Rd # Rod, New Berlin, WI 53151-7494 | 2017-12-19 |
| 1306356589 | Alexandra Wilson | Nurse Practitioner | 3033 W Layton Ave # 102, Greenfield, WI 53221-2628 | 2017-10-02 |
| 1689192775 | Brigid Mary Costello | Nurse Practitioner | 9000 W Wisconsin Ave Ste 620, Milwaukee, WI 53226-4874 | 2017-09-08 |
| 1851643696 | Jamie Harder | Nurse Practitioner | 2574 Sun Valley Dr Ste 207, Delafield, WI 53018-2334 | 2012-10-03 |
| 1760731988 | Nancy J Thompson-quandt | Nurse Practitioner | 7831 Warren Ave, Wauwatosa, WI 53213-2115 | 2012-09-04 |
| 1932471018 | Marie Helen Dietrich | Nurse Practitioner | 201 S Gammon Rd, Madison, WI 53717-1404 | 2012-02-03 |
| 1598993925 | Rebecca R. Rusch | Nurse Practitioner | 13950 W. W. Capitol Drive, Suite 200, Brookfield, WI 53005-2441 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
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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.