Elizabeth Anne Green, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71351 Issued in ID

Practice address

10548 W Business Park LN
Boise, ID 83709-6797

Phone

(208) 890-7165

NPI assigned

Jun 27, 2016

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hopscotch Primary Care Group, PA

  dba Hopscotch Primary Care

  • Family Medicine Physician
  • Shelby, NC
  • NPI 1831306992
  Medicare reassignment NPD
• Morgan Mental Health Group LLC

  • Mental Health Counselor
  • Meridian, ID
  • NPI 1457993230

  Family

  NPD (past)
• Hopscotch Primary Care, PLLC

  dba Hopscotch Primary Care

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1265716922
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235580630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10548 W BUSINESS PARK LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096797",
            "telephone_number": "208-890-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10548 W BUSINESS PARK LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096797",
            "telephone_number": "208-890-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 N Pines Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992064939",
            "country_code": "US",
            "telephone_number": "509-893-8140",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 E Grover St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503803",
            "country_code": "US",
            "telephone_number": "704-487-5228",
            "fax_number": "704-482-4284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "222008",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61053942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "71351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jane Green-Colby, LMSW
• Brady Green
• Brian H Green, LCSW
• David Charles Green, DDS
• Diana M Green, DO
• Erin Louise Green, RDN, LD
• Johnny Bert Green, MD
• Matthew Parker Green
• Melissa D Green, PHARMD
• Michael Green, D.C.

• Family Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.