JORDAN ANDREA GREEN (NPI# 1578930210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578930210 |
| Entity Type | Individual |
| Full Name | JORDAN ANDREA GREEN |
| Practice Address |
650 S Peoria Ave Tulsa OK 74120-4429 |
| Practice Telephone | 9185879471 |
| Practice Fax Number | 9185601399 |
| Mailing Telephone | 9185879471 |
| Mailing Fax Number | 9185601399 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OK | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230757 | Jordan Edward Green | Case Manager/Care Coordinator | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2019-05-14 |
| 1407311228 | Jordan Green | Physical Therapist | 1101 Highway K, O Fallon, MO 63366-8431 | 2019-02-06 |
| 1881194454 | Jordan Green | Occupational Therapist | 6830 W 121st Ct, Leawood, KS 66209-2021 | 2018-02-20 |
| Street Address |
650 S PEORIA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470787 | Sharon Ann Stewart | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2005-07-12 |
| 1972114825 | Olivia Church Pham | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-08-13 |
| 1154931913 | Anna Mchenry | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-08-06 |
| 1306456520 | Brianna Caylen Santos | Case Manager/Care Coordinator | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-08-03 |
| 1730707688 | Brittny Baldwin | Social Worker | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-07-08 |
| 1790319879 | Alexandra Mccaffery | Social Worker | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-02-27 |
| 1295367142 | Krista Taylor | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-02-09 |
| 1548891377 | Jasmine Marie Rowe | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-01-30 |
| 1457982795 | Elizabeth Marine Hollingsworth | Case Manager/Care Coordinator | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2020-01-27 |
| 1497302434 | Mercy Jade Hilton | Case Manager/Care Coordinator | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931739 | Parker Grant Allan | Student in an Organized Health Care Education/Training Program | 5126 E 104th Pl, Tulsa, OK 74137-6082 | 2020-10-26 |
| 1003423369 | Armin Kalantari | Student in an Organized Health Care Education/Training Program | 7310 E 92nd St, Tulsa, OK 74133-6039 | 2020-09-29 |
| 1437766268 | Abigail Roberts | Student in an Organized Health Care Education/Training Program | 2657 S Oswego Pl, Tulsa, OK 74114-4719 | 2020-09-25 |
| 1275149577 | Jesse Taylor Strong | Student in an Organized Health Care Education/Training Program | 50 S Florence Ave, Tulsa, OK 74104-1714 | 2020-09-22 |
| 1376159632 | Nisha Rajagopal | Student in an Organized Health Care Education/Training Program | 6152 S Richmond Ave, Tulsa, OK 74136-1613 | 2020-09-21 |
| 1386250728 | Magera Shaw | Student in an Organized Health Care Education/Training Program | 1436 S Darlington Ave, Tulsa, OK 74112-6314 | 2020-09-21 |
| 1811503261 | Bridgette Molenda | Student in an Organized Health Care Education/Training Program | 5215 S Harvard Ave Apt K, Tulsa, OK 74135-3537 | 2020-09-21 |
| 1922613777 | Anna Claire Shadid | Student in an Organized Health Care Education/Training Program | 2122 E 47th Pl, Tulsa, OK 74105-4922 | 2020-09-09 |
| 1316552169 | Laura Warning | Student in an Organized Health Care Education/Training Program | 412 S Olympia Ave, Tulsa, OK 74127-8825 | 2020-09-09 |
| 1487269239 | James Maxwell Cox | Student in an Organized Health Care Education/Training Program | 4507 S Madison Pl, Tulsa, OK 74105-4564 | 2020-09-09 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on JORDAN ANDREA GREEN.
| 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.