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JANIEL J GREEN PA-C
NPI 1114297660
Physician Assistant - Medical in Rexburg, ID

Active since December 30, 2011
36 PROFESSIONAL PLZ, SUITE #102, REXBURG, ID 83440(208) 356-0234(208) 656-8444 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Janiel J Green Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANIEL J GREEN PA-C (NPI 1114297660) is an individual medical provider in Rexburg, Idaho, licensed in Idaho (PA-957) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1114297660
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJANIEL J GREENCredential: PA-C
Location Address36 PROFESSIONAL PLZ, SUITE #102Rexburg, ID 83440-2049
Mailing Address36 Professional Plz, Suite #102Rexburg, ID 83440-2049 · (208) 356-0234 · Fax (208) 656-8444
Phone(208) 356-0234
Fax(208) 656-8444
Sole ProprietorNo
Enumeration DateDecember 30, 2011
✔ NPI 1114297660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-957
36 PROFESSIONAL PLZ, Rexburg, ID 83440
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHRIDGE INTERNAL MEDICINE, PLLC
Internal Medicine
36 PROFESSIONAL PLZ, STE-102
REXBURG, ID 83440
Madison County (208) 656-8456
DR. ANDREW SUMMERS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
36 PROFESSIONAL PLZ, SUITE 200
REXBURG, ID 83440
Madison County (208) 356-3621
ANDREW SUMMERS DDS, MS, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
36 PROFESSIONAL PLZ, SUITE 200
REXBURG, ID 83440
Madison County (208) 356-3621
MHD THERAPIES, PLLC
Physical Therapist
36 PROFESSIONAL PLZ, STE 110
REXBURG, ID 83440
Madison County (208) 359-9570
GENERATIONS WOMEN'S CLINIC, PLLC
Obstetrics & Gynecology
36 PROFESSIONAL PLZ
REXBURG, ID 83440
Madison County (208) 656-8864
RODNEY BATES JR. DO
Internal Medicine
36 PROFESSIONAL PLZ
REXBURG, ID 83440
Madison County (208) 359-9411
TYLER HARRIGFELD DPT
Physical Therapist
36 PROFESSIONAL PLZ
REXBURG, ID 83440
Madison County (208) 359-9570
ROCKY MOUNTAIN ANESTHESIA PLLC
Nurse Anesthetist, Certified Registered
36 PROFESSIONAL PLZ, SUITE 100
REXBURG, ID 83440
Madison County (208) 656-8442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Janiel Green's NPI number?

The NPI number for Janiel Green is 1114297660. It was assigned to this individual provider in the NPPES registry on December 30, 2011.

Where is Janiel Green located?

Janiel Green practices at 36 Professional Plz Suite #102, Rexburg, ID 83440. The listed phone number is (208) 356-0234.

What is Janiel Green's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Janiel Green was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.