TABATHA GREEN (NPI# 1528572930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528572930 |
Entity Type | Individual |
Full Name | TABATHA GREEN |
Credential | LPN |
Practice Address |
1221 East Brand Blvd Detroit MI 48211 |
Mailing Address |
15740 Coyle St Detroit MI 48227-2623 |
Practice Telephone | 7344584601 |
Mailing Telephone | 3139189306 |
Enumeration Date | 2017-11-21 |
Last Update Date | 2017-11-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 4703109730 | MI | Nursing Service Providers |
Street Address |
1221 EAST BRAND BLVD |
City | DETROIT |
State | MI |
Zip Code | 48211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760714406 | Nathan Terey | Counselor | 5470 Chene Ave, Detroit, MI 48211 | 2010-02-05 |
1174735286 | Staci Hirsch | Psychologist | 5470 Chene Street, Detroit, MI 48211 | 2007-05-03 |
1497872352 | Une Sur Une Resource Services LLC | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-03-24 |
1558524884 | Rebecca Woloszyn | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-07-07 |
1902064405 | Venessa Jean Parks | Counselor | 8718 Oakland St, Detroit, MI 48211-1241 | 2008-05-30 |
1972790459 | Nelda Kay Lejeune | Social Worker | 8718 Oakland St, Detroit, MI 48211-1241 | 2007-09-28 |
1760718605 | Teena Marie Sawicki | Social Worker | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2009-10-28 |
1659672699 | Margaret Elizabeth Hudson-collins | Psychiatry & Neurology | 3501 Hamtramck Dr, Detroit, MI 48211-1400 | 2010-11-08 |
1184932766 | John A. Lyle | Psychologist | 3501 Hamtramck Dr, Hamtramck, MI 48211-1400 | 2010-09-17 |
1073852091 | Community Dental Center Pllc | Clinic/Center | 4000 Miller St, Detroit, MI 48211-1555 | 2013-02-11 |
Find all providers in zip 48211 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
1518585504 | Lesley Dixon | Licensed Practical Nurse | 16668 Freeland St, Detroit, MI 48235-4500 | 2020-07-07 |
1720607237 | Nakesta Richardson | Licensed Practical Nurse | 9994 Bramell, Detroit, MI 48239-1304 | 2020-04-14 |
1962021477 | Torie Shatita Taylor | Licensed Practical Nurse | 22556 W Mcnichols Rd, Detroit, MI 48219-3140 | 2020-04-14 |
1689203499 | Tiffany Nicole Pierce | Licensed Practical Nurse | 8145 Greenfield Rd, Detroit, MI 48228-2220 | 2020-04-03 |
1750917118 | Stephanie Renee Williams | Licensed Practical Nurse | 8919 Prest St, Detroit, MI 48228-2200 | 2020-03-18 |
1417581299 | Valerie Adeyemi | Licensed Practical Nurse | 16559 Sorrento St, Detroit, MI 48235-4209 | 2020-03-02 |
1386276228 | Vikita Franklin | Licensed Practical Nurse | 16575 Snowden St, Detroit, MI 48235-4274 | 2020-02-09 |
1033749387 | Lachelle Mylinda Garrett | Licensed Practical Nurse | 18060 Gruebner St, Detroit, MI 48234-3854 | 2020-01-24 |
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.