REBECCA ANTEE GREEN (NPI# 1992725915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992725915 |
| Entity Type | Individual |
| Full Name | REBECCA ANTEE GREEN |
| Credential | M.D. |
| Practice Address |
1501 Kings Hwy Department of Pediatrics, Section of Critical Care Shreveport LA 71103-4228 |
| Practice Telephone | 3186758601 |
| Practice Fax Number | 3186758872 |
| Mailing Telephone | 3186758601 |
| Mailing Fax Number | 3186758872 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
024094 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1105937 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760974166 | Rebecca J Green | Speech-Language Pathologist | 1790 Nantucket Cir Apt 370, Santa Clara, CA 95054-3828 | 2018-05-31 |
| 1508232091 | Rebecca Green | Physical Therapy Assistant | 1150 Edward Best Rd, Louisburg, NC 27549-8161 | 2015-08-19 |
| 1962811554 | Rebecca Ferrell Green | Nurse Practitioner | 5275 Alexander Rd Ste A, Dublin, VA 24084-3657 | 2014-08-07 |
| 1033551510 | Rebecca Green | Optometrist | 1001 Breckenridge Ln, Louisville, KY 40207-4697 | 2013-07-24 |
| 1245488915 | Rebecca Ann Green | Counselor | 1014 Ferris Avenue, Suite 106, Waxahachie, TX 75165-2590 | 2008-09-05 |
| 1578731824 | Rebecca Michele Green | Speech-Language Pathologist | 5302 Plymouth Road, Baltimore, MD 21214 | 2008-02-20 |
| 1174737175 | Rebecca Marie Green | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2007-05-09 |
| 1457422123 | Rebecca Rose Green | Counselor | 722 So Lincoln Ave, Suite 1, York, NE 68467 | 2006-11-13 |
| 1437106416 | Rebecca J Green | Social Worker | 3360 Highway 411 N, Englewood, TN 37329-5276 | 2006-05-27 |
| 1093335051 | Rebecca A Green | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-04-20 |
| Street Address |
1501 KINGS HWY DEPARTMENT OF PEDIATRICS, SECTION OF CRITICAL CARE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
| 1336747625 | Lana Nasief | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-09 |
| 1558968834 | Dinesh Regalla | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-08 |
| 1588261283 | Divleen Sidhu | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-06 |
| 1023624517 | Grace Hoffman | Pharmacist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-20 |
| 1194330761 | Yousef Hasan | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1790399277 | Ricardo Murguia Fuentes | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1013521509 | Tahir Ahmad | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1376155309 | Ayesha Malik | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-20 |
| 1104438324 | Elleny Gutierrez | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023074549 | Wk Pediatric Intensivist | Pediatrics | 2510 Bert Koun Loop Rm 4003, Shreveport, LA 71118-3119 | 2006-04-24 |
| 1992792535 | Giao N Do | Pediatrics | 2510 Bert Koun Loop, Room 4003, Shreveport, LA 71118-3119 | 2005-09-29 |
| 1215036348 | Muhammad Z Qureshi | Pediatrics | 2510 Bert Kouns Loop, Suite 4003, Shreveport, LA 71118-3119 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235366626 | Kurt D. Piggott | Pediatrics | 200 Henry Clay Ave., Acc 3308, New Orleans, LA 70118 | 2009-06-12 |
| 1659540375 | Shafqat Mahmood Cheema | Pediatrics | 6511 Arden Oaks, Alexandria, LA 71301-2863 | 2008-02-27 |
| 1932256765 | Kelechi Nneoma Iheagwara | Pediatrics | 7777 Hennessy Blvd. Suite 103, Pediatric Intensivists of La, Baton Rouge, LA 70808 | 2007-01-04 |
| 1326002841 | William Robert Pace | Pediatrics | 107 Montrose Ave, Suite D, Lafayette, LA 70503-3852 | 2006-04-13 |
| 1427570555 | Daniele Wilson | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2017-07-11 |
| 1215297957 | Ashley Loren Scheffer | Pediatrics | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2012-05-28 |
| 1326304338 | Hannah Bauer | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118 | 2012-04-03 |
| 1972879781 | Rachel Lynn Hansen | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2012-03-26 |
| 1639465180 | Melissa Dawn Crowder | Pediatrics | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2011-06-23 |
| 1740572270 | Sumit Datta | Pediatrics | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2011-05-02 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.