John Fredrick Green, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

686477 Issued in TX

Practice address

10919 Louetta Rd
Houston, TX 77070-1667

Phone

(281) 251-1800

NPI assigned

Aug 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley-Wide Health Systems, Inc.Group PAC ID 5991609067, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Healthcare Home health agency, Alamosa, CO, CCN 067248
• San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008
• Heart of the Rockies Regional Medical Center Hospital, Salida, CO, CCN 061322

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.green.p1@direct.vwhs.nextgenshare.com

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

• Valley-Wide Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Alamosa, CO
  • NPI 1790998953
  Medicare reassignment Care Compare group NPD
• Neighborhood Medical Clinic PLLC

  • Primary Care Clinic/Center
  • The Woodlands, TX
  • NPI 1316492507
  NPD
• Valley-Wide Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alamosa, CO
  • NPI 1205652047
  NPD
• Memorial Hermann Neighborhood Health Centers, PLLC

  • Hospitalist Physician
  • Houston, TX
  • NPI 1043266299
  NPD (past)
• Valley-Wide Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Canon City, CO
  • NPI 1215383500
  NPD (past)

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

• LHCG Lvii, LLC

  • Home Health Agency
  • Alamosa, CO
  • NPI 1235545997
  Care Compare affiliation
• Lutheran Hospital Association of the San Luis Valley

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  Care Compare affiliation
• Salida Hospital District

  • Critical Access Hospital
  • Salida, CO
  • NPI 1730258971
  Care Compare affiliation

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1316139215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GREENWAY PLZ STE 2950",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460924",
            "telephone_number": "713-935-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10919 LOUETTA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701667",
            "telephone_number": "281-251-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOHN",
        "middle_name": "FREDRICK",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "686477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• January Lauren Green, FNP-C
• Jasmine Camille Green, PA
• Jaylan Tamaiya Green
• Jennifer Moody Green, LVN
• Jevona Green
• Jordan Green, FNP
• Karen Green, SLP-INTERN
• Karen M Green, NP
• Kimberly Larae Green, M.ED.,CCCC-SLP
• Kimberly M Green, LPC

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.