Teryn Ashli Green, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MED-PAC-LIC-80097 Issued in MT

Practice address

212 5TH Ave
Helena, MT 59601-4204

Phone

(406) 560-1715

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1285255893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 5TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014204",
            "telephone_number": "406-560-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 5TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014204",
            "telephone_number": "406-560-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TERYN",
        "middle_name": "ASHLI",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-80097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MONTANA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "MED-PAC-LIC-80097",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teryn.a.green.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Military Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Military Email",
            "address_1": "1956 Mt Majo St Bldg 62",
            "city": "Fort Harrison",
            "state": "MT",
            "country_code": "US",
            "postal_code": "596369725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Erin Green, D.O.
• Greenbriar Psychotherapy
• Jennifer Greene, LMT
• Lydia Lydia Greene, LCSW
• Ruby Ingebritson Greer, APRN, WHNP-BC
• Dean Gregg, PHD

• Physician Assistant in Helena, MT
• Providers in Helena, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.