MEAGAN JOHANNAH GREEN (NPI# 1699274456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699274456 |
| Entity Type | Individual |
| Full Name | MEAGAN JOHANNAH GREEN |
| Other Name | MEAGAN JOHANNAH SHIDELER |
| Credential | M.S. |
| Practice Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8656379711 |
| Mailing Telephone | 8656379711 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424151 | Meagan Green | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-07-15 |
| 1134601198 | Meagan Green | Physician Assistant | 3525 Olentangy River Rd Ste 5320, Columbus, OH 43214-3937 | 2018-09-05 |
| Street Address |
201 W SPRINGDALE AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-5158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865197 | Patricia Lynn Poteet | Nurse Practitioner | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2005-07-18 |
| 1225638539 | Lora Michael Hall | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-27 |
| 1417556457 | Cassie Lynn Wilmouth | Specialist/Technologist, Other | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-21 |
| 1598362790 | Cheryl G Beams | Specialist/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-01 |
| 1982218632 | Jessica Nicole Isham | Technician/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-01 |
| 1285248930 | Brandon Michael Ward | Technician/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-01 |
| 1558974147 | Joseph Robert Boughter | Student in an Organized Health Care Education/Training Program | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-08-25 |
| 1396363271 | Marquita Yvett Dortch | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-07-08 |
| 1942827670 | Dena Hassan | Behavior Technician | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-06-29 |
| 1639795974 | Amber Nolan | Behavior Technician | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727815 | Abbey Nicole Reeves | Counselor | 2455 Sutherland Ave Bldg F, Knoxville, TN 37919-2355 | 2020-07-08 |
| 1932732435 | Todd M Davis | Counselor | 5104 Beaver Dam Ln, Knoxville, TN 37931-3688 | 2020-02-13 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1578020566 | Talia Lee Mccarty | Counselor | 2455 Sutherland Ave Bldg A, Knoxville, TN 37919-2355 | 2019-02-26 |
| 1932679065 | Edna Booker | Counselor | 3213 River Maple Way Apt 307, Knoxville, TN 37914-6374 | 2018-12-02 |
| 1881183408 | Sarah Leeann Mcmahan I | Counselor | 5310 Ball Camp Pike # 76, Knoxville, TN 37921-3234 | 2018-05-09 |
| 1346765104 | Melanie Beth Hasson | Counselor | 9041 Executive Park Dr Ste Office17, Knoxville, TN 37923-4621 | 2017-08-13 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1447607775 | Lisa Marie Jones | Counselor | 123 Center Park Dr Ste 106, Knoxville, TN 37922-2168 | 2016-05-17 |
| 1629498209 | Jacob David Smith | Counselor | 3932 W Martin Mill Pike, Knoxville, TN 37920-2457 | 2014-04-22 |
| Find all providers in KNOXVILLE | ||||
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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.