Richard W Green, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6826 Issued in TN

Practice address

2996 Kate Bond Rd
Suite 405
Bartlett, TN 38133-4030

Phone

(901) 386-4423

Fax

(901) 333-8056

NPI assigned

Oct 6, 2006

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 TN

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

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.

• Family Medicine Group, PLLC

  • Family Medicine Physician
  • Bartlett, TN
  • NPI 1033165063
  Medicare reassignment

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1366539728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 19",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-386-4423",
            "fax_number": "901-333-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD",
            "address_2": "SUITE 405",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334030",
            "telephone_number": "901-386-4423",
            "fax_number": "901-333-8056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Woodbridge Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "TN",
            "postal_code": "380681242",
            "country_code": "US",
            "telephone_number": "901-465-6353 x110",
            "fax_number": "901-465-5948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley S Gore, NP
• Samaria Grandberry, RDN
• Lakingdria S Grandison, MS
• Taryn Graves
• Fredrick Tawone Gray, RD
• Stormy Green, D.C.
• Hailey Gremillion
• Guardian Angel Home Care
• Guardian Pharmacy of Tennessee Two, LLC
• Ann Clare Guest, FNP-C

• Family Nurse Practitioner in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.