Thomas Alan Green, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN078764 Issued in AZ

Practice address

12630 N 103Rd Ave Ste 142
Sun City, AZ 85351-3463

Phone

(480) 275-2022

Fax

(888) 551-6092

NPI assigned

May 4, 2006

Last updated

Feb 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AZ

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, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Az at Home IncGroup PAC ID 9830406388, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advisacare Solutions of Arizona, LLC Home health agency, Phoenix, AZ, CCN 037417
• Americare Hospice and Palliative Care Hospice, Mesa, AZ, CCN 031563

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Az at Home Inc

  • Family Nurse Practitioner
  • Sun City, AZ
  • NPI 1548643836
  Medicare reassignment Care Compare group NPD Authorized official
• Asap Health Solutions Inc

  • Internal Medicine Physician
  • Cave Creek, AZ
  • NPI 1295949014
  NPD (past)
• Home Health Resources, LLC

  dba THEMA Health Services

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1477547123
  NPD (past)
• Team Physicians of Arizona PC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1710915764
  NPD (past)

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

• Advisacare Solutions of Arizona, LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1619427283
  Care Compare affiliation
• Villa Alba Corporation

  dba DBA: Americare Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1679558050
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1477511665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 N 103RD AVE STE 142",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513463",
            "telephone_number": "480-275-2022",
            "fax_number": "888-551-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 N 103RD AVE STE 142",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513463",
            "telephone_number": "480-275-2022",
            "fax_number": "888-551-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN078764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Gradisher, PA-C
• Meredith Grady
• Grand Dental Care, PC
• Grand West Family Practice and Wellness LLC
• Heidi Lee Grande
• Gregory Alan Greenbaum, M.D
• David Lawrence Greene, M.D.
• Lisa Teresa Greene, NP
• Lindsey Greenup, PT, DPT
• Lynda Gregorini, RDH

• Family Nurse Practitioner in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.