JORDAN EDWARD GREEN (NPI# 1689230757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689230757 |
| Entity Type | Individual |
| Full Name | JORDAN EDWARD GREEN |
| Practice Address |
700 Sw Penn Bartlesville OK 74003-3847 |
| Practice Telephone | 9183378080 |
| Mailing Telephone | 9183378080 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1578930210 | Jordan Andrea Green | Student in an Organized Health Care Education/Training Program | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2015-08-28 |
| Street Address |
700 SW PENN |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74003-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730238148 | John Robert Jones | Counselor | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2007-01-09 |
| 1922624675 | James Davis Warring | Peer Specialist | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2020-06-18 |
| 1558990358 | Hannah Lord Garrett | Peer Specialist | 700 Sw Penn, Bartlesville, OK 74003 | 2020-04-03 |
| 1881234326 | Thomas Dean Bailey | Case Manager/Care Coordinator | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2020-01-13 |
| 1194368811 | John D Bragg-sutton | Case Manager/Care Coordinator | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2019-10-25 |
| 1467093625 | Shannon Sue Bible | Peer Specialist | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2019-09-30 |
| 1023661493 | James Luke Smith | Social Worker | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2019-07-24 |
| 1700438868 | Caitlin Danielle Welch | Case Manager/Care Coordinator | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2019-07-09 |
| 1205493541 | Dainelle Kathleen Herl | Case Manager/Care Coordinator | 700 Sw Penn, Bartlesville, OK 74003-5620 | 2019-05-22 |
| 1225591282 | Kerry Lynn Shaw | Case Manager/Care Coordinator | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2019-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1780226506 | Heather Leigh Shoesmith | Speech-Language Pathologist | 117 West 5th Street, Bartlesville, OK 74003 | 2019-10-14 |
| 1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
| 1396209359 | Newview Oklahoma Inc. | Occupational Therapy Assistant | 102 Sw Frank Phillips Blvd, Bartlesville, OK 74003 | 2019-01-24 |
| 1952762403 | Lee Ann Bond | Case Manager/Care Coordinator | 700 S.w. Penn Ave, Bartlesville, OK 74003 | 2016-03-11 |
| 1194102897 | Tiffany Jones | Case Manager/Care Coordinator | 1679 S Oal Ave, Bartlesville, OK 74003 | 2015-05-01 |
| 1073913125 | Kaileigh Jo Johnson | Behavioral Analyst | 700 S. Pen Ave, Bartlesville, OK 74003 | 2014-08-26 |
| 1699190595 | Mindy Karyl Mccoy | Occupational Therapist | 7256 Cr 2145, Bartlesville, OK 74003 | 2014-02-28 |
| 1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
| 1265876122 | Teri G Woodward | Community Health Worker | 325 S Osage, Bartlesville, OK 74003 | 2013-04-23 |
| Find all providers in zip 74003 | ||||
| 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 |
|---|---|---|---|---|
| 1154936086 | Ashley N Walters | Case Manager/Care Coordinator | 6115 Harvard Dr, Bartlesville, OK 74006-8942 | 2020-09-08 |
| 1528690500 | Miriam Joan Wathen | Case Manager/Care Coordinator | 1409 Hillcrest Dr, Bartlesville, OK 74003-5931 | 2020-02-07 |
| 1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
| 1093371643 | Matthew Bryan | Case Manager/Care Coordinator | 817 Revere Way E, Bartlesville, OK 74006-8871 | 2019-05-18 |
| 1912466814 | Rodger W Berry II | Case Manager/Care Coordinator | 1411 W Hensley Blvd, Bartlesville, OK 74003-2312 | 2019-03-19 |
| 1538628292 | John A Schicke | Case Manager/Care Coordinator | 610 W Hensley Blvd, Bartlesville, OK 74003-2519 | 2019-03-13 |
| 1861956716 | Matthew Lawrance Tennison | Case Manager/Care Coordinator | 500 S Johnstone Ave Ste 102, Bartlesville, OK 74003-6633 | 2019-01-24 |
| 1164914933 | Jeffrey Lee Tindel | Case Manager/Care Coordinator | 2115 Debbie Pl, Bartlesville, OK 74006-6507 | 2018-06-06 |
| 1881199305 | Melissa Lin Hatfield | Case Manager/Care Coordinator | 3700 Harvey Rd, Bartlesville, OK 74006-6611 | 2018-03-27 |
| 1285142786 | Kimberly J Weimer | Case Manager/Care Coordinator | 22380 N 4025 Dr, Bartlesville, OK 74006-0455 | 2018-01-18 |
| Find all providers in BARTLESVILLE | ||||
| City | BARTLESVILLE |
| Zip Code | 74003 |
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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.