LAGRETTA GREEN (NPI# 1639382807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639382807 |
| Entity Type | Individual |
| Full Name | LAGRETTA GREEN |
| Credential | NP |
| Practice Address |
200 E 115th St Chicago IL 60628-5015 |
| Practice Telephone | 3127472823 |
| Practice Fax Number | 3127472851 |
| Mailing Telephone | 3127479505 |
| Mailing Fax Number | 3127472851 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
209-000642 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 E 115TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063508075 | Kristine C Delgado | Family Medicine | 200 E 115th St, Chicago, IL 60628-5015 | 2006-10-05 |
| 1710584487 | Human Resources Development Institute, Inc. | Clinic/Center | 200 E 115th St, Chicago, IL 60628-5015 | 2020-10-06 |
| 1922549294 | Community Triage Center | Community/Behavioral Health | 200 E 115th St, Chicago, IL 60628-5015 | 2017-03-20 |
| 1477900090 | Jay Roth | Social Worker | 200 E 115th St, Chicago, IL 60628-5015 | 2016-05-24 |
| 1003223777 | Jovita Hubbard | Counselor | 200 E 115th St, Chicago, IL 60628-5015 | 2014-07-15 |
| 1295051506 | Chicago Department of Public Health | Clinic/Center | 200 E 115th St, Chicago, IL 60628-5015 | 2010-04-12 |
| 1861724544 | Chicago Dept. of Public Health | Community/Behavioral Health | 200 E 115th St, Chicago, IL 60628-5015 | 2010-02-05 |
| 1013249143 | Roseland Mental Health Center | Community/Behavioral Health | 200 E 115th St, Chicago, IL 60628-5015 | 2010-01-29 |
| 1750509097 | Peggy Thornton | Pediatrics | 200 E 115th St, Chicago, IL 60628-5015 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538557988 | Ibolya Molnar | Nurse Practitioner | 1420 Caldwell Ln, Hoffman Estates, IL 60169-1202 | 2015-01-07 |
| 1689929879 | Laurel Ann Dettore | Nurse Practitioner | 6827 Stanley Ave, Berwyn, IL 60402-3287 | 2012-07-13 |
| 1649585407 | Egyptian Health Department | Nurse Practitioner | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2010-08-17 |
| 1639401706 | Ruth A. Miner | Nurse Practitioner | 415 Health Department Rd, Murphysboro, IL 62966-6108 | 2010-02-01 |
Please comment or provide details below to improve the information on LAGRETTA 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.