ALISSA GAYLE GREEN (NPI# 1992181051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992181051 |
| Entity Type | Individual |
| Full Name | ALISSA GAYLE GREEN |
| Credential | APRN |
| Practice Address |
819 W Carpenter St Benton AR 72015-3349 |
| Practice Telephone | 5017788264 |
| Mailing Telephone | 5017788264 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004496 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699000 | Alissa Dodge Green | Social Worker | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 | 2019-09-24 |
| 1346611530 | Alissa Green | Counselor | 1734 Jefferson St Ste C, Napa, CA 94559-1746 | 2015-10-13 |
| Street Address |
819 W CARPENTER ST |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558330969 | Arkansas Health Group | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-16 |
| 1427416254 | Teresa Michelle Whitwell | Nurse Practitioner | 819 W Carpenter St, Benton, AR 72015-3349 | 2016-02-08 |
| 1558657999 | Natalie Shea Bradford | Physician Assistant | 819 W Carpenter St, Benton, AR 72015-3349 | 2011-06-23 |
| 1023077336 | Stewart Gregory Johnston | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-23 |
| 1528027828 | Charles Russell Burton | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-23 |
| 1851350128 | David Lewis Stewart | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-23 |
| 1992764518 | Chrysti Lyn Williams | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-22 |
| 1457310476 | Cara Beth Ballard | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-20 |
| 1134188063 | Mark Anthony Vice | Family Medicine | 819 W Carpenter St, Benton, AR 72015-3349 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1538625900 | Morgan Dyanne Colson | Nurse Practitioner | 1576 Brookshire Dr, Benton, AR 72019-9547 | 2019-02-11 |
| 1639648041 | Laurie Jeannette Kerschner | Nurse Practitioner | 166 Wellivers Hill Rd, Benton, PA 17814-8131 | 2018-11-14 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1982171484 | Reanna Christine Hargrove | Nurse Practitioner | 2314 Olive Creek Rd, Benton, KY 42025-4208 | 2018-11-01 |
| 1710474093 | Carmacare Inc | Nurse Practitioner | 2408 Military Rd, Benton, AR 72015-2743 | 2018-04-23 |
| 1366950693 | Blake Borders | Nurse Practitioner | 222 Bland St, Benton, MO 63736-9206 | 2018-01-22 |
| 1063920452 | Pamela Ann Bates | Nurse Practitioner | 824 Military Rd, Benton, AR 72015-3347 | 2018-01-19 |
| 1023525490 | Kortney Kai Spann | Nurse Practitioner | 4110 Darla Dr, Benton, AR 72015-6299 | 2018-01-05 |
| 1548791510 | Monica Suzanne Williams | Nurse Practitioner | 10676 Hinds Rd, Benton, AR 72019-9442 | 2017-03-22 |
| Find all providers in BENTON | ||||
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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.