MS. TERESA DIANE GREEN NPI 1104154293

NPI Information

NPI: 1104154293
Provider Name: MS. TERESA DIANE GREEN
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
415 W GLADYS ST
SIKESTON, MO
ZIP 63801
Phone: (573) 475-9254
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MS. Teresa Diane Green is a homemaker in Sikeston, MO. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. MS. Teresa Diane Green NPI is 1104154293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 W GLADYS ST
SIKESTON, MO
ZIP 63801-733
Phone: (573) 475-9254
Fax: (573) 475-9254

The enumeration date for this NPI number is 11/30/2009 and was last updated on 11/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	376J00000X	Homemaker		19920393	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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