Active NPI
Elizabeth Jane Green, FNP-C
- Family Nurse Practitioner
- Orange, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP113019
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205564202 | Medicaid | TX |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RHG of Texas PA | Current | 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
- 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.
-
- Family Medicine Physician
- Beaumont, TX
- NPI 1013734243
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
dba CHRISTUS Southeast Texas - St. Elizabeth
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
-
- Home Health Agency
- Orange, TX
- NPI 1336130301
-
dba Southern Home Health
- Home Health Agency
- Nederland, TX
- NPI 1578673786
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
- Victoria Juda Gordon, MD
- Kathryn Colleen Granger, LMFT
- Green & Dileo Dentistry GPS PLLC (Green & DiLeo Dentistry)
- Evie Alice Green-Dileo, DDS
- Becky Ann Green, NP
- Rebecca S. Greer, M.S.P.T.
- Griffith Family Health and Convenient Care Center
- Melana C Griffith, FNPC
- Gulf Coast Health Center Inc
- Gulf Gate Diagnostic Imaging
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.