TABATHA GREEN


Address: 1221 East Brand Blvd, Detroit, MI 48211
Phone: 7344584601

TABATHA GREEN (NPI# 1528572930) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 4703109730 MI Nursing Service Providers

Office Location

Street Address 1221 EAST BRAND BLVD
City DETROIT
State MI
Zip Code 48211

Providers in the same zip code

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 Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City DETROIT
Zip Code 48211

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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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