Theresa Marie Green, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1181982 Issued in FL

Practice address

9230 NW 12TH PL
Gainesville, FL 32606-5553

Phone

(352) 222-2323

NPI assigned

Dec 9, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1619112349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 NW 12TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065553",
            "telephone_number": "352-222-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 NW 12TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065553",
            "telephone_number": "352-222-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "1181982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Green, PHARMD
• Robin Nicole Green, DIRECTOR
• Ruth Ann Green, RMHCI
• Shirley A Green, RN
• Sydney Green
• William Green III, DO
• Corinne H Greenberg, LMHC
• Robert Alan Greenberg, MD
• Samantha Brooke Greenberg, RD
• Scott Greenberg

• Registered Nurse in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.