JACQUELINE GREEN


Address: 1775 Grand Concourse, Bronx, NY 10453-8202
Phone: 9145917300

JACQUELINE GREEN (NPI# 1508401688) 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) 1508401688
Entity Type Individual
Full Name JACQUELINE GREEN
Practice Address 1775 Grand Concourse
Bronx
NY 10453-8202
Mailing Address 100 N Broadway
Irvington
NY 10533-1254
Practice Telephone 9145917300
Enumeration Date 2019-11-12
Last Update Date 2019-11-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers

Other Providers JACQUELINE GREEN

NPI Name Taxonomy Address Enumeration
1386189728 Jacqueline Green Occupational Therapist 4703 W Braddock Rd Apt 30, Alexandria, VA 22311-4706 2016-12-20
1598116204 Jacqueline Green Technician, Other 221 Flowerdale St, Ferndale, MI 48220-1875 2016-06-23
1912230798 Jacqueline Marie Green Specialist 37 Sandpiper Cir, Ormond Beach, FL 32174-6042 2009-09-11
1962980094 Jacqueline Green Home Health Aide 9846 Hwy 31 E, Tyler, TX 75705-2329 2018-07-31
1306348487 Jacqueline Priscilla Green Nurse Practitioner 717 Pratt Ave Ne, Huntsville, AL 35801-3645 2018-03-05
1659732642 Jacqueline Green Specialist 1599 State St, Salem, OR 97301-4255 2016-03-17
1568866648 Jacqueline Green Specialist 4117 Nw 122nd St Ste C, Oklahoma City, OK 73120-8878 2014-10-17
1871937193 Jacqueline M Green Counselor 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 2013-04-18
1578816138 Jacqueline Marie Green Clinical Nurse Specialist 125 Paterson St, Clinical Academic Building Suite 6176, New Brunswick, NJ 08901-1962 2012-10-19
1477831758 Jacqueline Green Social Worker 10 Peterboro St, Detroit, MI 48201-2722 2011-08-03

Office Location

Street Address 1775 GRAND CONCOURSE
City BRONX
State NY
Zip Code 10453-8202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003916545 Candace Warrick Physical Therapist 1775 Grand Concourse, Bronx-lebanon Hosp Ctr. Dept Pm & R, Bronx, NY 10453-8202 2006-09-24
1366066151 Hyunjung Shin Student in an Organized Health Care Education/Training Program 1775 Grand Concourse, Bronx, NY 10453-8202 2020-06-08
1730703265 Obianuju Okeke Student in an Organized Health Care Education/Training Program 1775 Grand Concourse, Bronx, NY 10453-8202 2020-06-01
1780207993 Jennifer Suji Kim Student in an Organized Health Care Education/Training Program 1775 Grand Concourse, Bronxcare Health Systems, Dept of Dentistry, 6th Floor, Bronx, NY 10453 2020-05-21
1427698943 Jeffery Harper Counselor 1775 Grand Concourse, Bronx, NY 10000 2020-01-13
1528606266 Michael Whitley Registered Nurse 1775 Grand Concourse, Pgcmh 8th Fl Nursing, Bronx, NY 10453-8202 2019-12-12
1972148054 Bert Benjamin Community Health Worker 1775 Grand Concourse, Bronx, NY 10453-8202 2019-11-12
1881239960 Evelyn Carranza Community Health Worker 1775 Grand Concourse, Bronx, NY 10453-8202 2019-11-12
1699310771 Jamie Danyko Community Health Worker 1775 Grand Concourse, Bronx, NY 10453-8202 2019-11-12
1730723479 Lashanna Allen-williams Community Health Worker 1775 Grand Concourse, Bronx, NY 10453-8202 2019-11-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316553225 Victor Felipe Occupational Therapist 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 2020-09-17
1033745849 Jennifer Vargas Student in an Organized Health Care Education/Training Program Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 2020-03-13
1457985038 John Steven Contreras Student in an Organized Health Care Education/Training Program Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 2020-02-24
1538799648 Ari Warshawsky Counselor Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 2020-01-17
1407403413 Cristaly Williams Behavioral Analyst 2105 Jerome Avenue, Bronx, NY 10453 2019-08-23
1770041204 Yei Won Lee Student in an Organized Health Care Education/Training Program Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 2019-03-04
1265905517 William Alexander Jones Jr. Behavior Technician 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 2019-01-09
1154810737 Emily Patricia Mitchell Occupational Therapist 2105 Jerome Ave, Bronx, NY 10453 2018-05-09
1417445149 Ashna N Shah Student in an Organized Health Care Education/Training Program Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 2018-04-27
1700384328 Kevin Ponce Obate Physical Therapist 1975 University Ave, Bronx, NY 10453 2018-01-29
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275143679 Ingrid Ventura Community Health Worker 1382 Shakespeare Ave Apt 5c, Bronx, NY 10452-1878 2020-07-31
1053970491 Together We Align Neighborhoods Aggressively Inc Community Health Worker 1907 Wallace Ave, Bronx, NY 10462-3208 2019-06-10
1396208732 Cheri M Goodwin Community Health Worker 664 Beck St Apt D52, Bronx, NY 10455-3432 2019-04-11
1972062370 Aneka Mathieson Community Health Worker 349 East 143rd Street, Bronx, NY 10451 2019-03-15
1609335215 Dynesyia Shakiyra Covington Community Health Worker 1374 Boston Rd Apt 2b, Bronx, NY 10456-2537 2019-03-14
1326506502 Kredit Koncepts Financial Service LLC Community Health Worker 1175 Castle Hill Ave, Bronx, NY 10462-4830 2019-03-07
1366908147 Vivian Dee Coffield Community Health Worker 1455 Harrod Ave Apt 11b, Bronx, NY 10472-1454 2019-02-16
1679037139 Catherine Katura Lewis Community Health Worker 2081 Cruger Ave Apt 6j, Bronx, NY 10462-2387 2019-01-29
1588128219 Jasmine Marte Community Health Worker 1306 Fteley Ave Apt 4k, Bronx, NY 10472-1773 2019-01-28
1306300983 Yvette King - Facey Community Health Worker 1550 Unionport Rd Apt 1d, Bronx, NY 10462-7857 2019-01-28
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Competitor

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City BRONX
Zip Code 10453

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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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