Individual provider Active NPI

Veronica Michelle Green, F.N.P

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1710357181
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
276911 Issued in AZ
Practice address
5525 E River Rd
Tucson, AZ 85750-1949
Phone
(602) 755-0800
Fax
(602) 564-6246
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128731 TX
Family Nurse Practitioner 363LF0000X 276911 AZ Primary

Addresses

Primary practice location

5525 E River Rd
Tucson, AZ 85750-1949

Mailing address

3003 N Central Ave Ste 1175
Phoenix, AZ 85012-0002
Phone (888) 698-6727

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220819001861 AZ Practitioner - Nurse Practitioner 2264731231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
276911AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

5525 E River Rd
Tucson, AZ
Phone (520) 299-7794

7885 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 204-1009

Interoperability endpoints

  • Direct secure messaging: veronica.green.1@19654.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1710357181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 1175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850120002",
            "telephone_number": "888-698-6727",
            "fax_number": "602-564-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501949",
            "telephone_number": "602-755-0800",
            "fax_number": "602-564-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "VERONICA",
        "middle_name": "MICHELLE",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128731",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "276911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.