Individual provider Active NPI

Elizabeth Jane Green, FNP-C

  • Family Nurse Practitioner
  • Orange, TX
National Provider Identifier
1093715443
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113019 Issued in TX
Practice address
610 Strickland Dr
Suite 140
Orange, TX 77630-4786
Phone
(409) 833-9797
Fax
(409) 654-6945
NPI assigned
Jul 28, 2005
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 606373 TX
Family Nurse Practitioner 363LF0000X AP113019 TX Primary

Addresses

Primary practice location

610 Strickland Dr
Suite 140
Orange, TX 77630-4786

Mailing address

2929 Calder St
Suite 100
Beaumont, TX 77702-1845
Phone (409) 833-9797

Other identifiers 1

IdentifierTypeStateIssuer
205564202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000300 TX Practitioner - Nurse Practitioner 8527117167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RHG of Texas PAGroup PAC ID 6608399829, 32 clinicians

Practice addresses (Care Compare)

3570 College St
Suite 200
Beaumont, TX 77701-4679
Phone (409) 833-9797

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RHG of Texas PA CurrentSince Jan 27, 2025 Accepting new patients
Radiology Associates of North Texas PA Past Accepting new patients

Locations

2929 Calder St
Ste 100
Beaumont, TX 77702
Phone (409) 401-5864

3570 College St
Ste 200
Beaumont, TX 77701
Phone (409) 839-3118

910 S Main St
Big Spring, TX 79720
Phone (423) 714-4650

1315 St Joseph Pkwy
Ste 1507
Houston, TX 77002
Phone (713) 650-6556

7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048

610 Strickland Dr
Ste 100
Orange, TX 77630
Phone (409) 886-7245

610 Strickland Dr
Ste 140
Orange, TX 77630
Phone (409) 835-1230

610 Strickland Dr
Ste 170
Orange, TX 77630
Phone (409) 886-8687

Interoperability endpoints

  • Direct secure messaging: elizabeth.green.1@19036.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1093715443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STRICKLAND DR",
            "address_2": "SUITE 140",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304786",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "606373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205564202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

Verify at the official NPI Registry.