MISTYANNE GREEN (NPI# 1699389361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699389361 |
| Entity Type | Individual |
| Full Name | MISTYANNE GREEN |
| Other Name | MISTY GREEN |
| Practice Address |
1606 N Sylvania Ave Fort Worth TX 76111-2733 |
| Mailing Address |
232 Cooper Dr Hurst TX 76053-6129 |
| Practice Telephone | 9725670718 |
| Mailing Telephone | 9725670718 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT133835 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1606 N SYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76111-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306330543 | True Rx LLC | Pharmacy | 4045 E Belknap St Ste 10, Haltom City, TX 76111 | 2018-06-20 |
| 1538656988 | Dc Dental Associates of Fort Worth Pllc | Dentist | 1114 North Beach Street, Fort Worth, TX 76111 | 2018-04-20 |
| 1417403262 | Shauna Woody | Specialist/Technologist | 1101 Yucca Ave, Fort Worth, TX 76111 | 2016-08-31 |
| 1285180018 | Eve Investments LLC | Non-emergency Medical Transport (VAN) | 3513 E Belknap St, Fort Worth, TX 76111 | 2016-08-31 |
| 1851773857 | Mini Apple Dental Enterprise Pllc | Dentist | 911 N Sylvania Ave, #150, Fort Worth, TX 76111 | 2015-06-25 |
| 1376953471 | Priya Vinothini Colluru | Dentist | 3913, Wheeler's Street, Fort Worth, TX 76111 | 2014-04-29 |
| 1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
| 1649507708 | Vicki Van Mai | Pharmacist | 3809 E. Belknap St., Fort Worth, TX 76111 | 2009-11-11 |
| 1295972990 | Elite Healthcare Fort Worth | Clinic/Center | 112 N. Beach St., Fort Worth, TX 76111 | 2009-01-16 |
| 1124234885 | Psychotherapy Services & Yokefellows | Counselor | 159 N. Riverside Dr, Fort Worth, TX 76111 | 2007-05-16 |
| Find all providers in zip 76111 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788787 | Johnny Khamphouseng | Massage Therapist | 11100 Monica Ct, Fort Worth, TX 76244-7434 | 2020-10-21 |
| 1427655265 | Joline R Carraway | Massage Therapist | 645 Cross Ridge Cir N, Fort Worth, TX 76120-2435 | 2020-10-05 |
| 1023625720 | Joseph Peter Maslowski | Massage Therapist | 6704 Fall Meadow Dr, Fort Worth, TX 76132-3082 | 2020-09-26 |
| 1962017517 | Arelly Vanessa Orta-gonzales | Massage Therapist | 5501 Jacksboro Hwy Ste 402, Fort Worth, TX 76114-1600 | 2020-09-10 |
| 1316550353 | Cyndi E Jochum | Massage Therapist | 8713 Granite Path, Fort Worth, TX 76244-6987 | 2020-08-28 |
| 1902417173 | Shelby Leigh Butcher | Massage Therapist | 6740 Black Wing Dr, Fort Worth, TX 76137-2356 | 2020-08-12 |
| 1932724325 | Olivia Vaughn | Massage Therapist | 701 E Bluff St Apt 2111, Fort Worth, TX 76102-2351 | 2020-06-10 |
| 1386274207 | Amanda Leigh Phillips | Massage Therapist | 1925 Golden Heights Rd Ste 108, Fort Worth, TX 76177-7074 | 2020-01-20 |
| 1205486867 | Ariel Amber-lynn Carmack | Massage Therapist | 6040 Camp Bowie Blvd Ste 29, Fort Worth, TX 76116-5602 | 2019-09-16 |
| 1992354583 | Darnesha Rayna Woods | Massage Therapist | 4327 Segura Ct S, Fort Worth, TX 76132-2347 | 2019-09-06 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76111 |
Please comment or provide details below to improve the information on MISTYANNE 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.