Active NPI
Tanya C Green, CRNP
- Family Nurse Practitioner
- Miramar, FL
National Provider Identifier
1336541572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9440706
- Practice address
- 12401 Miramar Pkwy
Miramar, FL 33027-2900 - Phone
- (267) 230-3261
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | SP013994 | PA | |
| Family Nurse Practitioner | 363LF0000X | ARNP9440706 | FL | Primary |
Addresses
Primary practice location
12401 Miramar Pkwy
Miramar, FL 33027-2900
Mailing address
12401 Miramar Pkwy
Miramar, FL 33027-2900
Phone (267) 230-3261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9440706 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1336541572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 MIRAMAR PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330272900",
"telephone_number": "267-230-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 MIRAMAR PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330272900",
"telephone_number": "267-230-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "TANYA",
"middle_name": "C",
"name_prefix": "Miss",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP013994",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9440706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.