Tashe Clarice Green, FNP- C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11023231 Issued in FL

Practice address

17344 White Mangrove Dr
Wimauma, FL 33598-2402

Phone

(727) 688-0795

NPI assigned

Dec 9, 2022

Last updated

Aug 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tashe Green Professional name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFFEBA/Endpoint/DFFEBA

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.

• Quantum Practitioner Services LLC

  • Family Nurse Practitioner
  • Palmetto, FL
  • NPI 1194426197
  Medicare reassignment Care Compare group NPD
• House of Joules Wellness and Skin

  • Nurse Practitioner
  • St Petersburg, FL
  • NPI 1154261394
  NPD Authorized official
• Hostlisticjoules, LLC

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1497627046
  Authorized official Same address or phone

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1255042396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 4TH ST N STE K",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023614",
            "telephone_number": "727-688-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17344 WHITE MANGROVE DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335982402",
            "telephone_number": "727-688-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TASHE",
        "middle_name": "CLARICE",
        "credential": "FNP- C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "11023231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11023231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHE",
            "last_name": "GREEN",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gilguard Care Solutions
• Glimmer of Hope Wellness PLLC
• Jorge Luis Gomez Velez
• Yarelis Gonzalez Pantoja, APRN
• Kahkashan Grant
• Gwendy Gregory, CD
• Carmen Luisa Grillo Alejo
• Joanna J Guzman
• Evonda Carvette Hancock
• Lonnie Ray Harding, PA-C

• Family Medicine Physician in Wimauma, FL
• Providers in Wimauma, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.

Verify at the official NPI Registry.