Individual provider Active NPI

Treva Green Mitchell, MSN, RN, FNP

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1033558176
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124001 Issued in TX
Practice address
17138 N Eldridge Pkwy Ste D
Tomball, TX 77377-8288
Phone
(346) 580-3705
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 714292 TX
Family Nurse Practitioner 363LF0000X 124001 TX
Family Nurse Practitioner 363LF0000X AP124001 TX Primary

Addresses

Primary practice location

17138 N Eldridge Pkwy Ste D
Tomball, TX 77377-8288

Mailing address

17138 N Eldridge Pkwy Ste D
Tomball, TX 77377-8288
Phone (346) 580-3705

Other practice location 1

9 Greenway Plz
2950
Houston, TX 77046-0905
Phone (713) 335-1736

Other names 1

  • Miss Treva Renee Green Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130927000442 TX Practitioner - Nurse Practitioner 0941434252 Reassigns benefits to 2 organizations
I20250313001889 TX Practitioner - Family Practice 0941434252 Reassigns benefits to 1 organization
Practice locations: Tomball, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunday Cares PCGroup PAC ID 3678017233, 6 clinicians

Practice addresses (Care Compare)

14914 Mystic Terrace LN
Cypress, TX 77429-6295
Phone (281) 796-2595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
124001TXMDLicensed Vocational Nurse
714292TXMDFamily Nurse Practitioner
AP124001TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
F.I.T Medical Weight Loss & Optimization, LLC Family Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Your Health Your Way LLC CurrentSince Jan 28, 2025 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 600
Dallas, TX 75244

17138 N Eldridge Pkwy
Ste D
Tomball, TX 77377
Phone (346) 425-8938

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1033558176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17138 N ELDRIDGE PKWY STE D",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778288",
            "telephone_number": "346-580-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17138 N ELDRIDGE PKWY STE D",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778288",
            "telephone_number": "346-580-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Greenway Plz",
            "address_2": "2950",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770460905",
            "country_code": "US",
            "telephone_number": "713-335-1736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TREVA",
        "middle_name": "GREEN",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "714292",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "124001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREVA",
            "last_name": "GREEN",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.