JEAN GREEN (NPI# 1639232903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639232903 |
| Entity Type | Individual |
| Full Name | JEAN GREEN |
| Credential | RD |
| Practice Address |
30 Sever St Worcester MA 01609-2194 |
| Mailing Address |
133 Beaman Rd Princeton MA 01541-1133 |
| Practice Telephone | 5083931920 |
| Practice Fax Number | 5083930569 |
| Mailing Telephone | 5083931920 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 843 | MA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS PROVIDER ID | 725391 | 01 |
| MA | BCBS PROVIDER ID | LD 0054 | 01 |
| MA | HARVARD PILGRIM HEALTH | 39419 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124590856 | Jean C Green | Home Health Aide | 1140 N Capitol St Nw Apt 213, Washington, DC 20002-7550 | 2018-12-19 |
| 1578975850 | Jean Green | Counselor | 3108 Nw 49th St, Oklahoma City, OK 73112-5923 | 2014-05-21 |
| 1114337359 | Jean Green | Registered Nurse | 232 Crepe Myrtle Cir, Ocilla, GA 31774-3348 | 2014-04-28 |
| 1265550958 | Jean Yoder Green | Speech-Language Pathologist | 1011 Berks Rd, Leesport, PA 19533 | 2007-03-27 |
| Street Address |
30 SEVER ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295782928 | Judith Eaton | Psychiatry & Neurology | 30 Sever St, Worcester, MA 01609-2194 | 2006-05-28 |
| 1902227275 | Cornerstone Behavioral Health Inc. | Counselor | 30 Sever St, Worcester, MA 01609-2194 | 2014-01-03 |
| 1619155173 | Richard P Costigan | Psychologist | 30 Sever St, Worcester, MA 01609-2194 | 2008-02-07 |
| 1265553028 | Lawrence Trust | Social Worker | 30 Sever St, Worcester, MA 01609-2194 | 2007-04-02 |
| 1376663393 | Behavioral Health Associates of Central Massachusetts | Psychologist | 30 Sever St, Worcester, MA 01609-2194 | 2007-03-31 |
| 1336287341 | Lawrence Langer | Psychologist | 30 Sever St, Worcester, MA 01609-2194 | 2007-02-02 |
| 1952449969 | Ginette Langer | Psychologist | 30 Sever St, Worcester, MA 01609-2194 | 2007-02-02 |
| 1477699171 | Beth M Ashenburg | Psychologist | 30 Sever St, Worcester, MA 01609-2194 | 2007-01-29 |
| 1780730531 | Thomas Joseph Nowak | Psychologist | 30 Sever St, Worcester, MA 01609-2194 | 2007-01-26 |
| 1932123841 | Mari Shabani-storm | Social Worker | 30 Sever St, Worcester, MA 01609-2194 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755653 | Michael Niejadlik | Dietitian, Registered | 288 Grove St, Worcester, MA 01605-3934 | 2020-06-22 |
| 1548880339 | Megan Casey Flannery | Dietitian, Registered | 123 Summer St Ste 125, Worcester, MA 01608-1216 | 2020-04-21 |
| 1629543467 | Sharon Chan | Dietitian, Registered | 55 Lake Ave N # Ac2-200, Worcester, MA 01655-0002 | 2018-10-08 |
| 1205377157 | Ilene Torchia | Dietitian, Registered | 98 Boyd St Apt 2, Worcester, MA 01606-2706 | 2017-03-12 |
| 1023560703 | Colleen Daly | Dietitian, Registered | 60 Wrentham Rd, Worcester, MA 01602-1322 | 2016-10-28 |
| 1194175372 | Jennifer Newman | Dietitian, Registered | Stability Health, 120 Front Street, Suite 440, Worcester, MA 01608 | 2016-06-17 |
| 1508278706 | Susan Miller | Dietitian, Registered | 371 Wildwood Ave, Worcester, MA 01603-1655 | 2014-05-22 |
| 1588971832 | Patricia Puntumapanitch | Dietitian, Registered | 85 4th St, Worcester, MA 01602-3193 | 2010-09-08 |
| 1073836565 | Inmay P. Macneil | Dietitian, Registered | 5 Neponset St Fl 12, Worcester, MA 01606-2714 | 2010-03-11 |
| 1255473567 | Elizabeth Ann Eckert | Dietitian, Registered | 120 Front Street, Suite 440, Worcester, MA 01608 | 2007-02-13 |
| Find all providers in WORCESTER | ||||
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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.