PETER GREEN


Address: 3400 E Lake St, Minneapolis, MN 55406-2150
Phone: 6512740986

PETER GREEN (NPI# 1992347694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers PETER GREEN

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

Office Location

Street Address 3400 E LAKE ST
City MINNEAPOLIS
State MN
Zip Code 55406-2150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184274904 Twin Cities Recovery Project Inc Peer Specialist 3400 E Lake St, Minneapolis, MN 55406-2150 2019-09-13

Providers in the same zip code

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 Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City MINNEAPOLIS
Zip Code 55406

Improve Information

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Dataset Information

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.

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