ERICA LAUREN MILLER GREEN (NPI# 1710409495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710409495 |
Entity Type | Individual |
Full Name | ERICA LAUREN MILLER GREEN |
Other Name | ERICA LAUREN MILLER |
Credential | DNP, PMHNP |
Practice Address |
6363 France Ave S Edina MN 55435-2129 |
Mailing Address |
9400 Zane Ave N Brooklyn Park MN 55443-1814 |
Practice Telephone | 9529031265 |
Practice Fax Number | 9529222525 |
Mailing Telephone | 7637628800 |
Enumeration Date | 2017-07-13 |
Last Update Date | 2020-09-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5293 | MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740666866 | Erica Green | Social Worker | 5134 Greenheart Pl, Indianapolis, IN 46237-3852 | 2015-07-31 |
1740687060 | Erica Green | Rehabilitation Practitioner | 3890 Burma Rd, North Las Vegas, NV 89032-0832 | 2014-12-02 |
1295152361 | Erica Annette Green | Home Health Aide | 607 Brightberry Rd, Monroeville, PA 15146-1110 | 2014-03-26 |
1619255155 | Erica Green | Licensed Practical Nurse | 80 Portland Ct Apt 1, Rochester, NY 14621-2857 | 2011-08-02 |
1336367333 | Erica Susan Green | Counselor | 446 26th St Fl 4, San Diego, CA 92102-3026 | 2007-04-23 |
1336635259 | Erica R Green | Occupational Therapist | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-07-03 |
1528594181 | Erica Green | Occupational Therapist | 212 Marter Ave, Moorestown, NJ 08057-4519 | 2017-05-02 |
1346694890 | Erica Green | Psychologist | 4400 37th Ave S, Seattle, WA 98118-1609 | 2016-04-21 |
1356716419 | Erica Green | Social Worker | 316 E Main St, Morehead, KY 40351-1622 | 2015-12-01 |
1568845584 | Erica Green | Registered Nurse | 1423 Field St, Detroit, MI 48214-2321 | 2015-07-08 |
Street Address |
6363 FRANCE AVE S |
City | EDINA |
State | MN |
Zip Code | 55435-2129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548235443 | Kristin Haugan | Family Medicine | 6363 France Ave S, Suite 525, Edina, MN 55435-2129 | 2006-02-22 |
1811515976 | Anna Quincer | Social Worker | 6363 France Ave S, Edina, MN 55435-2129 | 2020-07-06 |
1861971566 | Naysha Lavonne Stone | Counselor | 6363 France Ave S, Edina, MN 55435-2129 | 2018-08-13 |
1235659830 | Michael Lemair | Social Worker | 6363 France Ave S, Edina, MN 55435-2129 | 2017-06-23 |
1821525668 | Rachel Bialostosky | Social Worker | 6363 France Ave S, Edina, MN 55435-2129 | 2017-05-11 |
1952849580 | Kristen Svendahl | Nurse Practitioner | 6363 France Ave S, Suite # 200, Edina, MN 55435-2129 | 2017-02-02 |
1982157590 | Jessica Anna Pivec | Clinical Exercise Physiologist | 6363 France Ave S, Suite 100, Edina, MN 55435-2129 | 2016-07-31 |
1720435563 | Ellen Wied | Counselor | 6363 France Ave S, Edina, MN 55435-1430 | 2016-05-23 |
1376912857 | Intermed Consultants Dialysis, Pllc | Internal Medicine | 6363 France Ave S, Suite 400, Edina, MN 55435-2129 | 2015-09-15 |
1215305065 | Nicole Catherine Witt | Counselor | 6363 France Ave S, Edina, MN 55435-2129 | 2015-09-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
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Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164813366 | Adejoke Adedeji | Nurse Practitioner | 7760 France Ave S Ste 1109, Edina, MN 55435-5800 | 2015-02-10 |
1396357786 | Michaelina Afi Bamah | Nurse Practitioner | 4444 W 76th St Ste 400, Edina, MN 55435-5178 | 2020-08-18 |
1679107999 | Synergy Family Psychiatric Services LLC | Nurse Practitioner | 5200 Willson Rd Ste 150, Edina, MN 55424-1300 | 2020-02-25 |
1194379214 | Tamara Lea Kittleson | Nurse Practitioner | 6600 France Ave S Ste 415, Edina, MN 55435-1804 | 2019-07-26 |
1073021572 | Joanne Kyrra Howden-rich | Nurse Practitioner | 5200 Willson Rd Ste 150, Edina, MN 55424-1300 | 2018-01-18 |
1952849580 | Kristen Svendahl | Nurse Practitioner | 6363 France Ave S, Suite # 200, Edina, MN 55435-2129 | 2017-02-02 |
1306101357 | Erica Louise Zielin Wurm | Nurse Practitioner | 6363 France Ave S Ste 200, Edina, MN 55435-2140 | 2012-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
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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.