Jonathan Green
Peer Specialist • Springdale, AR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jonathan Green has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jonathan Green was a registered Peer Specialist practicing in Springdale, AR. Throughout an active medical career spanning 5 years, Jonathan Green provided care at the practice location at 710 TERRY AVE until profile deactivation on 2020-01-06.
Practice Location & Contact Primary Location
710 Terry Ave
Springdale, AR 727646804
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Springdale, AR
Practicing in Springdale, AR (45 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2020-01-22NUCC Taxonomy Code: 175T00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 710 TERRY AVE, SPRINGDALE, AR 727646804 (Tel: 4792838509)
Registered at 710 TERRY AVE, SPRINGDALE, AR 727646804
Recorded as JONATHAN GREEN
Peer Specialist
Record deactivated on January 06, 2020
NPI status registered as active in NPPES database
Registered at 710 TERRY AVE, SPRINGDALE, AR 727646804 (Tel: 4792838509)
Registered at 710 TERRY AVE, SPRINGDALE, AR 727646804
Recorded as JONATHAN GREEN
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
710 Terry Ave
Springdale, AR 727646804
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