TRACEY YVETTE GREEN (NPI# 1629495718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629495718 |
| Entity Type | Individual |
| Full Name | TRACEY YVETTE GREEN |
| Other Name | TRACEY GREEN WEATHERS |
| Practice Address |
5190 Atlantic Ave Long Beach CA 90805-6510 |
| Mailing Address |
8730 S Vermont Ave Los Angeles CA 90059-2412 |
| Practice Telephone | 5624284111 |
| Practice Fax Number | 5629845610 |
| Mailing Telephone | 3237513026 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431347 | Tracey Olivia Green | Technician | 1324 Ridge Pl Se, Washington, DC 20020-6924 | 2020-06-12 |
| 1265903181 | Tracey Green | Social Worker | 3330 Lomita Boulevard, Torrance Memorial Medical Center Social Services Dept, Torrance, CA 90505-5002 | 2018-12-17 |
| 1295136729 | Tracey Louise Green | Nurse Practitioner | 882 Oakman Blvd Ste D, Detroit, MI 48238-4019 | 2014-09-16 |
| 1770841710 | Tracey Green | Licensed Practical Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2012-04-27 |
| 1518239789 | Tracey Ann Green | Occupational Therapy Assistant | 7950 Lake Underhill Rd, Orlando, FL 32825 | 2012-02-03 |
| 1467520361 | Tracey G Green | Acupuncturist | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-12-01 |
| 1487631768 | Tracey D Green | Family Medicine | 2345 E Prater Way, Suite 207, Sparks, NV 89434-9600 | 2005-12-28 |
| Street Address |
5190 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-6510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003941683 | Tarzana Treatment Centers, Inc. | Pharmacy | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2007-02-22 |
| 1831790880 | Manuel Gomez | Case Manager/Care Coordinator | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-11-05 |
| 1033724588 | Desiree Tessier | Counselor | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-09-11 |
| 1922622091 | Wendy Marie Casey | Community Health Worker | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-06-03 |
| 1528690237 | Kristal Gastelum | Specialist | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-02-10 |
| 1508405614 | Alexandra Savage | Social Worker | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-01-06 |
| 1447802988 | Andy Aguila | Counselor | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2019-07-15 |
| 1053973388 | Grace Tsai | Counselor | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2019-07-08 |
| 1952963316 | Jennifer Michell Eyo Morales | Social Worker | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2019-07-05 |
| 1265090294 | Ahsaki Parra-castro | Case Manager/Care Coordinator | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701937 | Katherine Rose Little | Case Manager/Care Coordinator | 4510 E Pacific Coast Hwy Ste 430, Long Beach, CA 90804-6937 | 2020-08-19 |
| 1093359762 | Somnon Kann | Case Manager/Care Coordinator | 1355 Redondo Ave Ste 9, Long Beach, CA 90804-2845 | 2019-11-05 |
| 1730720954 | Eileen Austria Om | Case Manager/Care Coordinator | 311 E Cummings Ln, Long Beach, CA 90805-1315 | 2019-09-30 |
| 1760949895 | Annabelle Bassalla Simba | Case Manager/Care Coordinator | 3530 Atlantic Ave Ste 200, Long Beach, CA 90807-4569 | 2019-02-25 |
| 1568940518 | Julia Ornelas | Case Manager/Care Coordinator | 40 Alamitos Ave Apt 203, Long Beach, CA 90802-5483 | 2018-08-01 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1033645114 | Cutberto Morales Jr. | Case Manager/Care Coordinator | 200 Pine Ave, Suite 400, Long Beach, CA 90802-3041 | 2017-05-10 |
| 1730614496 | William Woodbury | Case Manager/Care Coordinator | 6321 Coronado Ave, Long Beach, CA 90805-3809 | 2017-05-01 |
| 1932646130 | Melissa Merman | Case Manager/Care Coordinator | 10 Monroe Blvd Apt 3h, Long Beach, NY 11561-4342 | 2017-01-25 |
| 1396295648 | Samuel Lee | Case Manager/Care Coordinator | 1025 Palo Verde Ave, Apt 13, Long Beach, CA 90815-4645 | 2016-10-11 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
Please comment or provide details below to improve the information on TRACEY YVETTE 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.