JACQUELINE GREEN (NPI# 1568866648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568866648 |
| Entity Type | Individual |
| Full Name | JACQUELINE GREEN |
| Practice Address |
4117 Nw 122nd St Ste C Oklahoma City OK 73120-8878 |
| Mailing Address |
600 Old Home Pl Yukon OK 73099-9716 |
| Practice Telephone | 4054018136 |
| Mailing Telephone | 4054018136 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OCC-03720 | OK | Other Service Providers |
| 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 |
| 1508401688 | Jacqueline Green | Community Health Worker | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2019-11-12 |
| 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 |
| 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 |
| Street Address |
4117 NW 122ND ST STE C |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043226384 | Rafael Justiz IIi | Anesthesiology | 4117 Nw 122nd St Ste C, Oklahoma City, OK 73120 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932634789 | Suboxone Solutions LLC | Specialist | 10813 N Macarthur Blvd Ste W, Oklahoma City, OK 73162-6904 | 2017-04-28 |
| 1245656461 | Chris Kunkel | Specialist | 2900 Purdue Dr, Oklahoma City, OK 73128-5808 | 2014-03-12 |
| 1235554338 | Megan Peters | Specialist | 8521 N Eastern Ave, Oklahoma City, OK 73131-4031 | 2014-02-26 |
| 1821332438 | Tsa Eshelle King | Specialist | 1330 N Classen Blvd Ste 307, Oklahoma City, OK 73106-6834 | 2012-11-20 |
| 1841542859 | Tempest Johann Johnson | Specialist | 1210 Sw 77th Ter, Oklahoma City, OK 73139-2439 | 2012-10-15 |
| 1861753956 | Rickey Lee Great | Specialist | 834 Ne 36th St, Oklahoma City, OK 73105-7206 | 2012-06-05 |
| 1154689487 | Connie L Burch | Specialist | 3112 Nw Expressway Apt 115, Oklahoma City, OK 73112-4016 | 2012-04-24 |
| 1437433125 | Virginia Parrish | Specialist | 222 E Sheridan Ave, Oklahoma City, OK 73104-4233 | 2011-09-29 |
| 1356650675 | Richard C. Greyson, M.d., A Professional Corporation | Specialist | 1110 N Classen Blvd Ste 301, Oklahoma City, OK 73106-6842 | 2010-10-04 |
| 1992017420 | Maurice Upshaw Jr. | Specialist | 3035 Nw 63rd St Ste 201n, Oklahoma City, OK 73116-3606 | 2010-07-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.