JENNIFER DEAN GREEN (NPI# 1568946978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568946978 |
| Entity Type | Individual |
| Full Name | JENNIFER DEAN GREEN |
| Practice Address |
523 2nd St E Scott City MO 63780-2418 |
| Practice Telephone | 5732645030 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205249 | Jennifer Moody Green | Licensed Vocational Nurse | 16418 Brookford Dr, Houston, TX 77059-4707 | 2019-10-03 |
| 1003478801 | Jennifer C Green | Nurse Practitioner | 838 E 625 S, Layton, UT 84041-4300 | 2019-07-01 |
| 1134608458 | Jennifer Green | Occupational Therapy Assistant | 448 Pendrey Dr, Port Orange, FL 32127-9528 | 2018-08-08 |
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1154833747 | Jennifer Green | Acupuncturist | 5000 Davis Ln Ste 106, Austin, TX 78749-3802 | 2017-11-03 |
| 1376097071 | Jennifer Green | Nurse Practitioner | 199 Douglas Dr, Hallsville, TX 75650-7321 | 2016-08-10 |
| 1982091849 | Jennifer Hannah Green | Social Worker | 11511 Douglas Ave, Apt. 206, Huntley, IL 60142-7187 | 2015-04-17 |
| 1174921357 | Jennifer Green | Contractor | 2253 Calvert St, Virginia Beach, VA 23451-1739 | 2014-12-20 |
| 1023439122 | Jennifer Michelle Green | Speech-Language Pathologist | 7055 Mexico Road Suite 1601, St. Peters, MO 63376-9998 | 2013-12-17 |
| 1881933273 | Jennifer B Green | Physical Therapist | 9 Whalen Rd, Hopkinton, MA 01748-1719 | 2013-02-05 |
| Street Address |
523 2ND ST E |
| City | SCOTT CITY |
| State | MO |
| Zip Code | 63780-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215464193 | Ashton Elfrink | Occupational Therapy Assistant | 528 Co Hwy 210, Scott City, MO 63780 | 2017-05-22 |
| 1144505447 | Si03, Inc. | Medical Foods Supplier | 4711 Nash Road, Scott City, MO 63780 | 2011-10-18 |
| 1881013209 | Jessica Mier | Speech-Language Pathologist | 311 Steck St, Scott City, MO 63780-1105 | 2014-04-14 |
| 1205080538 | Scott City School District R-1 | Local Education Agency (LEA) | 3000 Main St, Scott City, MO 63780-1111 | 2008-11-13 |
| 1285877282 | Dianne Patricia Roth | Speech-Language Pathologist | 3000 Main St, Scott City, MO 63780-1111 | 2009-04-07 |
| 1326108382 | Teresa Jean Cobb | Occupational Therapist | 112 N Berkley St, Scott City, MO 63780-1202 | 2006-12-11 |
| 1386785277 | Cathy Wyatt | Physical Therapist | 112 N Berkley St, Scott City, MO 63780-1202 | 2007-02-12 |
| 1497896070 | Pediatric Therapy Unlimited Inc | Occupational Therapist | 112 N Berkley St, Scott City, MO 63780-1202 | 2007-02-08 |
| 1649397779 | Ron Mcculley | Clinic/Center | 2520 James St, Scott City, MO 63780-1219 | 2007-03-23 |
| 1598371593 | Scott City Sunshine LLC | Assisted Living Facility | 2520 James St, Scott City, MO 63780-1219 | 2020-09-16 |
| Find all providers in zip 63780 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481518 | Bilal Malik Shabazz | Day Training/Habilitation Specialist | 113 Link Dr, Sikeston, MO 63801-5132 | 2020-03-09 |
| 1689131880 | Community Connections Stl LLC | Day Training/Habilitation Specialist | 225 Stage Coach Landing Dr, Saint Peters, MO 63376-4210 | 2019-02-23 |
| 1104339365 | Hassan Johnson | Day Training/Habilitation Specialist | 7630 E 79th St Unit 702, Kansas City, MO 64138-1453 | 2017-11-09 |
| 1730578832 | Vernita Lewis | Day Training/Habilitation Specialist | 126 Flora Dr, Saint Louis, MO 63135-1025 | 2015-01-13 |
| 1548460934 | Doris Rean Smith | Day Training/Habilitation Specialist | 211 E Excelsior St Apt 2, Excelsior Springs, MO 64024-2264 | 2007-07-23 |
| 1679691117 | Humble Hearts Care Service | Day Training/Habilitation Specialist | 652 State Rd M, Conway, MO 65632 | 2007-03-26 |
| 1245370808 | Covenant Care Services, LLC | Day Training/Habilitation Specialist | 120 S Mine La Motte St, Fredericktown, MO 63645-1229 | 2007-02-06 |
| 1851429807 | Four Seasons In Home Services, LLC | Day Training/Habilitation Specialist | 712 S Montgomery Ave, Sedalia, MO 65301-4654 | 2007-03-01 |
| 1134257181 | Four Seasons In Home Services,llc | Day Training/Habilitation Specialist | 712 S Montgomery Ave, Sedalia, MO 65301-4654 | 2007-03-01 |
| 1770618274 | James Mitchell Germann | Day Training/Habilitation Specialist | 1102 Lakeview Ct, Carrollton, MO 64633 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
| City | SCOTT CITY |
| Zip Code | 63780 |
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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.