Marissa Rose Green, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60950065 Issued in WA

Practice address

4320 196TH St SW Ste D
Lynnwood, WA 98036-6753

Phone

(425) 774-8758

NPI assigned

Mar 25, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marissa.green.p1@direct.crc-fwhc.nextgenshare.com

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.

• Feminist Women'S Health Center

  • Ambulatory Family Planning Facility
  • Renton, WA
  • NPI 1245206507
  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1619438587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 196TH ST SW STE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 196TH ST SW STE D",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366753",
            "telephone_number": "425-774-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARISSA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60950065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Greeling, PT, DPT
• Green Day Clinic
• Aleksey Brooke Green
• Christopher Isaiah Green, L.M.P.
• Kelley Lorraine Green, MSW, LICSW
• Noralee Green, MCD, CCC
• Valerie Green, LMT
• Stephanie Anne Marie Greenall, DC
• Kathryn Greene, OTR/L
• Serenity Madajah Renee Greene, SUDPT, AAC

• Family Nurse Practitioner in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.