MS. TASHUNDA LATRESE GREEN (NPI# 1881853992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881853992 |
Entity Type | Individual |
Full Name | MS. TASHUNDA LATRESE GREEN |
Credential | RN |
Practice Address |
17830 Larkspur Ln Homewood IL 60430-1131 |
Practice Telephone | 7087996740 |
Mailing Telephone | 7087996740 |
Enumeration Date | 2008-06-04 |
Last Update Date | 2008-06-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
041310372 | IL | Nursing Service Providers |
Street Address |
17830 LARKSPUR LN |
City | HOMEWOOD |
State | IL |
Zip Code | 60430-1131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
Find all providers in zip 60430 |
Taxonomy Code | 163WN0002X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Neonatal Intensive Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548884315 | Lindsey Ann Langan | Registered Nurse | 4440 W 95th St # 250n, Oak Lawn, IL 60453-2600 | 2020-06-08 |
1396294336 | Jessica Mcgee | Registered Nurse | 15238 N 1090 East Rd, Catlin, IL 61817-9263 | 2016-10-03 |
1699986513 | Marilyn Mattox | Registered Nurse | 15709 Ellis Ave, Dolton, IL 60419-2718 | 2007-05-24 |
1154949857 | Kawana Fantasia Tharps | Registered Nurse | 250 E Superior St, Chicago, IL 60611-2914 | 2020-07-09 |
1104449412 | Urszula Winkiewicz | Registered Nurse | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-05-20 |
1588285324 | Stefanni Anderson | Registered Nurse | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-05-04 |
1588293567 | Theresa Palermo | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-04-02 |
1568090611 | Christie Nicole Lawrence | Registered Nurse | 600 S Paulina St, Chicago, IL 60612-3806 | 2020-04-01 |
1790256345 | Katherine Bulthuis | Registered Nurse | 1775 W Dempster St, Park Ridge, IL 60068-1143 | 2018-12-07 |
1972041770 | Stephanie Ann Ober | Registered Nurse | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2017-02-01 |
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.