PETER GREEN (NPI# 1992347694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992347694 |
Entity Type | Individual |
Full Name | PETER GREEN |
Credential | LADC |
Practice Address |
3400 E Lake St Minneapolis MN 55406-2150 |
Mailing Address |
3400 E Lake St Ste 101 Minneapolis MN 55406-2150 |
Practice Telephone | 6512740986 |
Mailing Telephone | 6512740986 |
Enumeration Date | 2019-10-14 |
Last Update Date | 2019-10-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043732852 | Peter Green | Dentist | 304 Copperline Dr Apt U, Chapel Hill, NC 27516-0421 | 2017-07-13 |
1568410512 | Peter L Green | Physical Therapist | 1713 Vaughn Rd, Burlington, NC 27217-2915 | 2006-05-04 |
1619105194 | Peter B Green | Dentist | 800 1st Ave Sw, Austin, MN 55912-2507 | 2009-06-23 |
1487811402 | Peter M Green | Pharmacist | 42 Broad St W, Mount Vernon, NY 10552-2102 | 2008-05-19 |
1902003940 | Peter Gerard Green | Dentist | 2500 N Rose St, Flagstaff, AZ 86004-3659 | 2007-07-02 |
1962627927 | Peter Alex Green | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-04-16 |
1306853205 | Peter H.r. Green | Internal Medicine | 180 Fort Washington Ave, Harkness Pavillion, Suite 956, New York, NY 10032-3735 | 2006-08-02 |
1174548689 | Peter Warwick Green | Orthopaedic Surgery | 554 Larkfield Rd, Ste 10g, E Northport, NY 11731 | 2006-07-13 |
Street Address |
3400 E LAKE ST |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55406-2150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184274904 | Twin Cities Recovery Project Inc | Peer Specialist | 3400 E Lake St, Minneapolis, MN 55406-2150 | 2019-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
Find all providers in zip 55406 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184274904 | Twin Cities Recovery Project Inc | Peer Specialist | 3400 E Lake St, Minneapolis, MN 55406-2150 | 2019-09-13 |
1265890073 | Miles Hamlin-zamojski | Peer Specialist | 3800 Aldrich Ave S, Apt 2, Minneapolis, MN 55409-1027 | 2016-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152767 | Sara Eigenheer | Peer Specialist | 600 25th Ave S Ste 104, Saint Cloud, MN 56301-4820 | 2020-10-19 |
1225636459 | Melanie Joann Wettstein | Peer Specialist | 5027 Evergreen Dr N Unit 3, Hugo, MN 55038-8578 | 2020-10-10 |
1821556614 | Minnesota Recovery Connection | Peer Specialist | 2446 University Ave W Ste 112, Saint Paul, MN 55114-1740 | 2019-03-11 |
1720527872 | Kerry Leno | Peer Specialist | 1132 28th Ave S Ste 102, Moorhead, MN 56560-4420 | 2017-02-21 |
1083256002 | Lauren A Foster | Peer Specialist | 117 W James St, Paynesville, MN 56362-1216 | 2019-10-10 |
1780248807 | Sue Ann Stewart | Peer Specialist | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2019-04-24 |
1669036968 | Luann Gravelle | Peer Specialist | 112 Highway 371 S, Hackensack, MN 56452-2638 | 2019-04-23 |
1285197756 | Beyond Brink | Peer Specialist | 314 Chestnut St, Mankato, MN 56001-3032 | 2019-04-10 |
City | MINNEAPOLIS |
Zip Code | 55406 |
Please comment or provide details below to improve the information on PETER GREEN.
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.