MS. KATIE E GREEN (NPI# 1679853634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679853634 |
Entity Type | Individual |
Full Name | MS. KATIE E GREEN |
Other Name | KATIE E. KRUPKE |
Credential | PA-C |
Practice Address |
457 Jack Martin Blvd. Brick NJ 08724 |
Practice Telephone | 7328407500 |
Practice Fax Number | 7328402088 |
Mailing Telephone | 7328407500 |
Mailing Fax Number | 7328402088 |
Enumeration Date | 2011-08-23 |
Last Update Date | 2018-04-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 25MP00367400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
014932-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578039046 | Katie Green | Specialist/Technologist | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2018-10-22 |
1366945941 | Katie Green | Counselor | 105 S Garden Ave, Newport, WA 99156-9001 | 2018-03-09 |
1538603055 | Katie Green | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2016-12-19 |
1467809145 | Katie Green | Registered Nurse | Madigan Army Medical Ctr, 0940 Jackson Ave, Tacoma, WA 98431-0001 | 2016-05-23 |
1205296795 | Katie Green | Nurse Practitioner | 714 Highway 70 E, Kingston, OK 73439-8252 | 2016-02-26 |
1255688586 | Katie Green | Physical Therapist | 1532 S Green Bay Rd, Ste 200, Mt Pleasant, WI 53406-4468 | 2012-08-06 |
1699916130 | Katie Elizabeth Green | Physician Assistant | 2790 Clay Edwards Dr, Ste 600, N Kansas City, MO 64116-3276 | 2009-03-12 |
1740433689 | Katie Prior Green | Anesthesiology | 3300 Providence Dr, Anchorage, AK 99508-4690 | 2008-10-23 |
Street Address |
457 JACK MARTIN BLVD. |
City | BRICK |
State | NJ |
Zip Code | 08724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
Find all providers in zip 08724 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
1255861589 | Christopher Whitehead | Physician Assistant | 1541 Route 88 W Ste J, Brick, NJ 08724-2373 | 2017-06-19 |
1265811343 | William Bennett | Physician Assistant | 474 W Lake Dr, Brick, NJ 08724-1571 | 2015-05-22 |
1891006078 | Stephanie V. Brown | Physician Assistant | 686 Route 70, Brick, NJ 08723-4026 | 2010-06-23 |
1841354230 | Christina M Celmer | Physician Assistant | 1640 Route 88 Ste 201, Brick, NJ 08724-3068 | 2006-12-20 |
1780643940 | James E Lynch | Physician Assistant | 92 Fairview Ave, Brick, NJ 08724-4314 | 2006-03-17 |
1447888649 | Evan P Cardin | Physician Assistant | 495 Jack Martin Blvd Ste 2, Brick, NJ 08724-7778 | 2020-04-01 |
1841838950 | Lindsay Marie Scala | Physician Assistant | 457 Jack Martin Blvd, Brick, NJ 08724-7776 | 2019-12-19 |
1033773833 | Samantha Bangs | Physician Assistant | 478 Brick Blvd, Brick, NJ 08723-6077 | 2019-04-26 |
Find all providers in BRICK |
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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.