KELLIE M GREENE (NPI# 1821420795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821420795 |
| Entity Type | Individual |
| Full Name | KELLIE M GREENE |
| Credential | NP-C |
| Practice Address |
3667 Marlane Dr Grove City OH 43123-8895 |
| Mailing Address |
4345 Crown Point Dr Columbus OH 43220-4423 |
| Practice Telephone | 6146271830 |
| Mailing Telephone | 6145588802 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA 14842 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518441658 | Kellie Greene | Massage Therapist | 409 Carriage Ln, Philadelphia, PA 19104-2500 | 2018-09-24 |
| 1013515220 | Kellie Catherine Greene | Behavior Technician | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2020-10-12 |
| Street Address |
3667 MARLANE DR |
| City | GROVE CITY |
| State | OH |
| Zip Code | 43123-8895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346419371 | Sarah Renee Adams | Family Medicine | 3667 Marlane Dr, Grove City, OH 43123-8895 | 2008-02-25 |
| 1609381656 | Amy Lewis | Dietitian, Registered | 3667 Marlane Dr, Grove City, OH 43123 | 2017-12-12 |
| 1326578089 | Cassandra Anandappa Tamayo | Family Medicine | 3667 Marlane Dr, Grove City, OH 43123-8895 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165225 | Leetonya Henley | Registered Nurse | 4499 Rishel Street, Grove City, OH 43123 | 2020-05-14 |
| 1235792268 | Yunbo Tian | Student in an Organized Health Care Education/Training Program | Transitional Year, 5300 North Meadows Dr., Grove City, OH 43123 | 2019-04-16 |
| 1316402845 | Kristina Wojcik | Counselor | 5665 Hoover Road, Grove City, OH 43123 | 2019-02-08 |
| 1487134581 | Orthopedic One, Inc. | Orthopaedic Surgery | 5500 N. Meadows Drive, Grove City, OH 43123 | 2018-08-17 |
| 1699253658 | Ohiohealth Corporation | Pharmacy | 1375 Stringtown Road, Grove City, OH 43123 | 2018-08-01 |
| 1881102911 | Buckeye Anti-aging and Aesthetics | General Practice | 3699 Garden Ct, Grove City, OH 43123 | 2018-01-10 |
| 1093221764 | Alonda Shantel Long | Case Manager/Care Coordinator | 5665 Hoover Rd., Grove City, OH 43123 | 2017-12-18 |
| 1417466673 | Robert William Frazier Jr. | Social Worker | 3770 Santa Maria Dr., Grove City, OH 43123 | 2017-09-20 |
| 1053830885 | Grove City Surgery Center LLC | Clinic/Center | 1325 Stringtown Rd, Suite 100, Grove City, OH 43123 | 2017-09-13 |
| 1295253292 | Lori Little | Adult Companion | 5233 Thornhill Ct, Grove City, OH 43123 | 2017-08-30 |
| Find all providers in zip 43123 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289286 | Stacey Beth Cruikshank | Nurse Practitioner | 1901 Ohio Dr, Grove City, OH 43123-4835 | 2020-03-12 |
| 1598395196 | Claudia Raymonde Kanga | Nurse Practitioner | 4207 Gantz Rd, Grove City, OH 43123-2993 | 2020-01-22 |
| 1306364906 | Direct Np Care LLC | Nurse Practitioner | 1923 Mallow Ln, Grove City, OH 43123-5001 | 2017-09-02 |
| 1598288292 | Sara Elizabeth Anderson | Nurse Practitioner | 3044 Woodgrove Drive, Grove City, OH 43123 | 2017-07-25 |
| 1538521232 | Bethani M Knipfer | Nurse Practitioner | 1375 Stringtown Rd, Grove City, OH 43123-8911 | 2016-03-22 |
| 1881064004 | Anna Hung-chan | Nurse Practitioner | 4000 Parkmead Dr Ste 200, Grove City, OH 43123-4908 | 2015-09-30 |
| 1619380938 | Jennifer L Biddle | Nurse Practitioner | 1328 Fairway Dr, Suite 321, Grove City, OH 43123-8458 | 2014-06-04 |
| 1578813820 | Carey Ann Susi | Nurse Practitioner | 4258 Golden Meadows Ct, Grove City, OH 43123-9426 | 2012-09-13 |
| 1801177225 | Sherry L Cooper-dye | Nurse Practitioner | 1365 Eber Lea Vis, Grove City, OH 43123-8136 | 2011-08-30 |
| 1558592386 | Lindsey Aaron Smith | Nurse Practitioner | 201 Erie St, Suite C, Grove City, PA 16127-1659 | 2009-07-28 |
| Find all providers in GROVE CITY | ||||
| City | GROVE CITY |
| Zip Code | 43123 |
Please comment or provide details below to improve the information on KELLIE M GREENE.
| 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.