Viridis Wound Management PLLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

VIRIDIS WOUND MANAGEMENT PLLC

Practice address

850 E Spokane Falls Blvd Ste 133
Spokane, WA 99202-2171

Phone

(509) 954-2184

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Selma Jayne GreenNPI 1902504905

Title

Owner

Phone

(509) 954-2184

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Selma Jayne Green, ARNP

  • Gerontology Nurse Practitioner
  • Spokane, WA
  • NPI 1902504905
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738454400000",
    "number": "1609682707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 S HOGAN LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992238140",
            "telephone_number": "509-954-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E SPOKANE FALLS BLVD STE 133",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022171",
            "telephone_number": "509-954-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRIDIS WOUND MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SELMA",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-954-2184"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teodulo T Vince-Cruz, M.D.
• Cameron Vincent
• Thomas Marvin Vincent, PA-C
• Xenia Marija Vincent, LMT
• Yelena Vinnikova, CO60932973
• Mandya Vishwanath, M.D.
• Jason Visintainer
• Vision Arts Eyecare Center
• Visionworks, Inc.
• Julia Vladimirovna Vistorovskaya

• Gerontology Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Gerontology Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.