JALESSIA LYRAY GREEN (NPI# 1982140018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982140018 |
| Entity Type | Individual |
| Full Name | JALESSIA LYRAY GREEN |
| Practice Address |
13 S Tejon St Suite 501 Colorado Springs CO 80903-1513 |
| Mailing Address |
525 W Hawthorne Pl Unit 804 Chicago IL 60657-2907 |
| Practice Telephone | 8662268576 |
| Mailing Telephone | 5136807350 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
26-2707834 | CO | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
13 S TEJON ST SUITE 501 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811024060 | Jocelyn Hedges Goubeaux | Audiologist | 13 S Tejon St, Suite 501, Colorado Springs, CO 80903-1513 | 2007-02-27 |
| 1417482175 | Alyssa Kujawa | Specialist/Technologist, Other | 13 S Tejon St, Ste 501, Colorado Springs, CO 80903-1513 | 2017-05-01 |
| 1427590892 | John Macdonnchadh | Specialist/Technologist, Other | 13 S Tejon St, Ste. 501, Colorado Springs, CO 80903-1513 | 2016-11-16 |
| 1801254990 | Rachel Sobolewski | Specialist/Technologist, Other | 13 S Tejon St, Suite 501, Colorado Springs, CO 80903-1513 | 2016-02-03 |
| 1316302615 | Nicole Soto | Specialist/Technologist, Other | 13 S Tejon St, Suite 501, Colorado Springs, CO 80903-1513 | 2015-12-31 |
| 1528423852 | Christopher Drew | Specialist/Technologist, Other | 13 S Tejon St, Colorado Springs, CO 80903-1513 | 2015-12-31 |
| 1366822181 | Kimberly Stanley | Specialist/Technologist, Other | 13 S Tejon St, Suite 501, Colorado Springs, CO 80903-1513 | 2015-06-06 |
| 1891172110 | Shannon Page | Specialist/Technologist, Other | 13 S Tejon St, Ste 501, Colorado Springs, CO 80903-1513 | 2015-05-06 |
| 1740690825 | Carmela Cetkowski | Specialist/Technologist, Other | 13 S Tejon St, Ste 501, Colorado Springs, CO 80903-1513 | 2014-04-29 |
| 1558787903 | Intranerve | Specialist/Technologist, Other | 13 S Tejon St, Ste. 501, Colorado Springs, CO 80903-1513 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1780044289 | Kevin Gillette | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903 | 2016-02-26 |
| 1588030720 | Kimberly Jaynes | Specialist/Technologist, Other | 13 S Tejon St Fl 5, Colorado Springs, CO 80903-1513 | 2015-08-11 |
| 1720420482 | Justin J Becco | Specialist/Technologist, Other | 807 Point of The Pines Dr, Colorado Springs, CO 80919-8141 | 2013-07-23 |
| 1215376256 | Carlo Singson | Specialist/Technologist, Other | 13 South Tejon St, 501, Colorado Springs, CO 80903 | 2013-06-24 |
| 1659616431 | Andrew Benjamin Harris | Specialist/Technologist, Other | 815 Custer Ave, Colorado Springs, CO 80903-2725 | 2012-12-04 |
| 1912513128 | Destiny Elmore | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-09-22 |
| 1528679511 | Kristina Henson | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-08-12 |
| 1922620764 | John Parkanzky | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-05-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
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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.