MS. PENNY M GREEN (NPI# 1760425409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760425409 |
| Entity Type | Individual |
| Full Name | MS. PENNY M GREEN |
| Credential | CRNA |
| Practice Address |
725 S James Campbell Blvd Columbia TN 38401-5962 |
| Mailing Address |
Po Box 299 Manchester TN 37349-0299 |
| Practice Telephone | 9317285607 |
| Practice Fax Number | 9317288354 |
| Mailing Telephone | 9317285607 |
| Mailing Fax Number | 9317288354 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 11236 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3627696 | 05 | |
| TN | BLUECROSS | 4027418 | 01 |
| TN | 3627699 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114095379 | Penny Yvette Green | Social Worker | 5225 York Rd, Baltimore, MD 21212 | 2006-12-04 |
| Street Address |
725 S JAMES CAMPBELL BLVD |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-5962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295727568 | Clifford M. Myles | Anesthesiology | 725 S James Campbell Blvd, Columbia, TN 38401-5962 | 2005-08-22 |
| 1255865176 | Monty Lewis | Physical Therapist | 725 S James Campbell Blvd, Columbia, TN 38401-5962 | 2017-04-18 |
| 1235440256 | Columbia Anesthesia Group Pllc | Anesthesiology | 725 S James Campbell Blvd, Columbia, TN 38401-5962 | 2010-06-24 |
| 1669402038 | Larry Max Fort Jr. | Nurse Anesthetist, Certified Registered | 725 S James Campbell Blvd, Columbia, TN 38401-5962 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598143521 | Lasette Denise Allen | Nurse Anesthetist, Certified Registered | 1 Hospital Dr # 3w-27, University of Missouri, Dept of Anesthesiology, Columbia, MO 65212-1000 | 2015-05-11 |
| 1366855363 | Christin Jennifer Stoner | Nurse Anesthetist, Certified Registered | 2607 Stratford Chase Pkwy, Columbia, MO 65201 | 2014-06-06 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| 1215359369 | Anna Allen | Nurse Anesthetist, Certified Registered | 1330 Taylor St, Columbia, SC 29201-2915 | 2014-01-08 |
| 1700214954 | Matthew Grayson | Nurse Anesthetist, Certified Registered | 2655 Harrison Rd, Columbia, SC 29204-2530 | 2013-10-25 |
| 1609136431 | Jill Timms Cox | Nurse Anesthetist, Certified Registered | 1436 Dahlia Rd, Columbia, SC 29205-4812 | 2012-05-27 |
| 1205109428 | Sc Anesthesiology LLC | Nurse Anesthetist, Certified Registered | 1520 Taylor Street, Suite 250, Columbia, SC 29201-2912 | 2012-02-18 |
| 1225305840 | Joseph Onukwufor Udeh | Nurse Anesthetist, Certified Registered | 7661 Woodpark Ln Apt 303, Columbia, MD 21046-2736 | 2011-11-28 |
| 1750685962 | Ramses Baguio | Nurse Anesthetist, Certified Registered | 1316 Old Highway 63 S Ste 102, Columbia, MO 65201-6092 | 2011-01-03 |
| 1518260686 | Thomas Joseph Ortbals II | Nurse Anesthetist, Certified Registered | 1600 E. Broadway, Anesthesia Department, Columbia, MO 65201-6092 | 2010-12-13 |
| Find all providers in COLUMBIA | ||||
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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.