Tessa Noelle Green

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

310 W 2ND St
Justin, TX 76247-5023

Phone

(940) 648-9900

Fax

(940) 648-1600

NPI assigned

Apr 2, 2024

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

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 and National Provider Directory roles.

• Justin Family Medical, PA

  • Family Medicine Physician
  • Justin, TX
  • NPI 1841331162
  NPD
• Justin Family Medical

  • Primary Care Clinic/Center
  • Justin, TX
  • NPI 1194175604
  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1750133930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 2ND ST",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762475023",
            "telephone_number": "940-648-9900",
            "fax_number": "940-648-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 2ND ST",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762475023",
            "telephone_number": "940-648-9900",
            "fax_number": "940-648-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TESSA",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ganeshaparshwa PLLC
• Katherine Leigh Gonzales, MA, BCBA, LBA
• Goodbrain Behavior Services PLLC
• Christina Gordon, SLP INTERN
• Grateful Heart Counseling, PLLC
• Kimberly Lynn Hardy, LPC, LCDC
• Nicole Lynn Haynes, FNP
• Heather Rowley Rd LD LLC
• Kendra Hockaday, LPC
• Rebecca Holderread, LPTA

• Physician Assistant in Justin, TX
• Providers in Justin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.