MS. AMANDA J. GREEN (NPI# 1801151592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801151592 |
| Entity Type | Individual |
| Full Name | MS. AMANDA J. GREEN |
| Credential | NP |
| Practice Address |
2540 Windy Hill Rd Se Marietta GA 30067-8605 |
| Mailing Address |
2594 Wildflower Ln Snellville GA 30039-4085 |
| Practice Telephone | 7706441570 |
| Practice Fax Number | 7706441576 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN198522 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1205381290 | Amanda Green | Marriage & Family Therapist | 1885 S Arlington Ave Ste 201, Reno, NV 89509-3377 | 2016-08-18 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1528478443 | Amanda Green | Psychologist | 207 Briggs Dr, Easley, SC 29642-1803 | 2014-04-30 |
| 1396168084 | Amanda Green | Occupational Therapy Assistant | 10 Notch Rd, Adams, MA 01220-1012 | 2014-01-30 |
| 1740529684 | Amanda Green | Pharmacist | 212 Liberty St # 214, Warren, PA 16365-2347 | 2013-02-13 |
| 1588783344 | Amanda Spivey Green | Dentist | 1463 E Main St, Spartanburg, SC 29307-2246 | 2007-03-29 |
| 1578162624 | Amanda Rose Green | Physician Assistant | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2020-10-20 |
| 1477101418 | Amanda Marie Green | Occupational Therapist | 9957 Allisonville Rd, Fishers, IN 46038-2006 | 2019-09-03 |
| 1457905697 | Amanda Marie Green | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-25 |
| Street Address |
2540 WINDY HILL RD SE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144202318 | Christopher Riddell | Psychiatry & Neurology | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2005-11-15 |
| 1861091159 | Kristian Hope Henson | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2020-10-19 |
| 1427662451 | Amber Lenee Johnston | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2020-09-08 |
| 1063056760 | Kelly W Gladden | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2019-11-05 |
| 1700438009 | Wendy N Smith | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2019-07-16 |
| 1497307417 | Thomas Howell Arrington | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2019-07-10 |
| 1083274799 | Byron P Jamerson | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2019-06-14 |
| 1598240822 | Maima Fortune | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2018-10-02 |
| 1295275949 | Tanya Camiela Dunkley | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2017-02-28 |
| 1508314790 | Carolyn Ann Mauro | Anesthesiologist Assistant | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2016-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| 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 |
|---|---|---|---|---|
| 1194358754 | Beatrice Odero | Nurse Practitioner | 3727 Mill Lake Dr, Marietta, GA 30060-6273 | 2020-02-21 |
| 1407402910 | Augusta Williams | Nurse Practitioner | Attn: Augusta Williams, 2131 Kingston Court Suite 108, Marietta, GA 30067-8929 | 2019-08-12 |
| 1134727696 | Julie Nicole Polcyn | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-15 |
| 1710595988 | Chinwe Okafor | Nurse Practitioner | 1277 Kennestone Cir, Marietta, GA 30066-6029 | 2020-07-14 |
| 1497372080 | Trisha Leigh Bail | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-29 |
| 1912460601 | Jasmine Young | Nurse Practitioner | 1640 Powers Ferry Rd Se Ste 330, Marietta, GA 30067-5491 | 2019-04-09 |
| 1720543432 | Lacy Marie Workman | Nurse Practitioner | 401 Matthew St, Marietta, OH 45750-1635 | 2019-02-06 |
| 1598240822 | Maima Fortune | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2018-10-02 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1295275949 | Tanya Camiela Dunkley | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2017-02-28 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on MS. AMANDA J. 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.