Tracey Olivia Green

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1324 Ridge PL SE
Washington, DC 20020-6924

Phone

(202) 344-6853

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1003431347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 RIDGE PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206924",
            "telephone_number": "202-344-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 RIDGE PL SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206924",
            "telephone_number": "202-344-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TRACEY",
        "middle_name": "OLIVIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4UA9KA2RN38",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tracey_green02@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email correspondence",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1324 Ridge Pl SE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200206924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamika Green
• Tamyka Green
• Tenia Green
• Teresa Green, LICSW, LCSW-C
• Tezhane Green
• Victoria Green, PT
• Vivian Green, HHA
• Vonnye Kenice Green
• William R Green, MD
• William S. Green, MD

• Personal Care Attendant in Washington, DC
• Providers in Washington, DC by specialty
• Personal Care Attendant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.