DALE JERRY GREEN (NPI# 1861044117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861044117 |
| Entity Type | Individual |
| Full Name | DALE JERRY GREEN |
| Credential | PA-S |
| Practice Address |
446 N 100 E Kaysville UT 84037-1428 |
| Practice Telephone | 8013765252 |
| Mailing Telephone | 8013765252 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427512656 | Dale Allen Green Jr. | Case Manager/Care Coordinator | 31946 Mission Trl Ste B, Lake Elsinore, CA 92530-4539 | 2019-01-22 |
| 1083844005 | Dale Green | Physical Therapist | 3400 Calloway Dr Ste 603, Bakersfield, CA 93312-2514 | 2009-07-24 |
| 1174704738 | Dale L Green | Dietitian, Registered | 228 Saint Charles Way Ste 200, York, PA 17402-4661 | 2007-11-23 |
| 1629063540 | Dale E Green | Internal Medicine | 1814 Westchester Dr, Suite 201, High Point, NC 27262-7299 | 2005-09-16 |
| Street Address |
446 N 100 E |
| City | KAYSVILLE |
| State | UT |
| Zip Code | 84037-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400247 | Denise Ellen Kearl | Counselor | 283 N 300 W, Ste. 501, Kaysville, UT 84037 | 2019-04-25 |
| 1679060958 | Carrie Marie Nash | Massage Therapist | 307 N 300 W Ste 303, Kaysville, UT 84037 | 2018-04-22 |
| 1679010433 | Nature's Whisper Massage | Massage Therapist | 175 W 200 N, Kaysville, UT 84037 | 2017-01-31 |
| 1184969883 | Dee Milton Marble | Counselor | 845 West 200 North, Kaysville, UT 84037 | 2012-12-06 |
| 1134429384 | Intermountain Medical Monitoring LLC | Anesthesiology | 1306 Deer Crest, Fruit Heights, UT 84037 | 2010-10-21 |
| 1437470143 | Garison Dan Couser | Dentist | 250 West 200 North Suite#2, Kaysville, UT 84037 | 2010-06-16 |
| 1174854392 | Maeli Merrill | Massage Therapist | 302n. Main St., Kaysville, UT 84037 | 2010-01-28 |
| 1760711725 | Home Comfort Care LLC. | Adult Companion | 672 E. 1625 S., Kaysville, UT 84037 | 2009-12-21 |
| 1508195744 | Jacqueline S Silkey | Dermatology | 192 S. Main St, Kaysville, UT 84037 | 2009-12-17 |
| 1336394410 | Michael C Yeates | Family Medicine | 380 North 400 West, Tanner Memorial Clinic, Kaysville, UT 84037 | 2008-11-17 |
| Find all providers in zip 84037 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097861 | Meredith Dalton Allen | Student in an Organized Health Care Education/Training Program | 314 Larkin Ln, Kaysville, UT 84037-2455 | 2020-06-12 |
| 1487803912 | Stephen G Pritt | Student in an Organized Health Care Education/Training Program | 447 N 300 W, Suite 7, Kaysville, UT 84037-4203 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1336740505 | Benjamin H Reece | Student in an Organized Health Care Education/Training Program | 191 N Clark Ln, Elk Ridge, UT 84651-9550 | 2020-11-04 |
| 1538760061 | Joshua Ty Winters | Student in an Organized Health Care Education/Training Program | 3691 W Pure Nirvana Ln, Herriman, UT 84096-2617 | 2020-11-02 |
| 1972103885 | Ryan James Larsen | Student in an Organized Health Care Education/Training Program | 1786 N Main St, Centerville, UT 84014-1133 | 2020-10-29 |
| 1134727142 | Jonathon Cahoon | Student in an Organized Health Care Education/Training Program | 10604 N 5550 W, Highland, UT 84003-8903 | 2020-10-12 |
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1558968529 | Raul G Betancourt-perez | Student in an Organized Health Care Education/Training Program | 151 Coventry Pl, Logan, UT 84341-1998 | 2020-10-02 |
| 1386241560 | Rebecca Nay | Student in an Organized Health Care Education/Training Program | 4052 West 3390 South, Suite 105, West Valley City, UT 84120-2049 | 2020-10-01 |
| 1730793852 | Katrina Rose Emery | Student in an Organized Health Care Education/Training Program | 1374 E Willow Vista Dr, Sandy, UT 84093-6644 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.