Christina L. Green, Pmhnp-BC, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CHRISTINA L. GREEN, PMHNP-BC, PLLC

Practice address

3101 Joe Ramsey Blvd E Ste 104
Greenville, TX 75401-7762

Phone

(903) 454-1700

Fax

(903) 454-1701

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Christina L Green, APRN, PMHNPNPI 1619321163

Title

Owner

Phone

(903) 454-1700

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Leann Green, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, TX
  • NPI 1619321163
  Medicare reassignment NPD Authorized official
• Lisa A Fite, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, TX
  • NPI 1700485950
  NPD
• Dante R Burgos, M.D.

  • Psychiatry Physician
  • Plano, TX
  • NPI 1427055391
  NPD (past)
• Rachel Marie Troup-Roderick, LCSW

  • Clinical Social Worker
  • Greenville, TX
  • NPI 1275071615
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590278400000",
    "number": "1891358867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 WESLEY ST STE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015663",
            "telephone_number": "903-454-1700",
            "fax_number": "903-454-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 JOE RAMSEY BLVD E STE 104",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017762",
            "telephone_number": "903-454-1700",
            "fax_number": "903-454-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4702 Wesley St Ste C",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754015663",
            "country_code": "US",
            "telephone_number": "903-454-1700",
            "fax_number": "903-454-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Joe Ramsey Blvd E Ste 104",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017762",
            "country_code": "US",
            "telephone_number": "903-454-1700",
            "fax_number": "903-454-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTINA L. GREEN, PMHNP-BC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2020-05-24",
        "certification_date": "2020-05-24",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-454-1700",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GREENVILLE",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "GREENVILLE",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "GREENVILLE",
            "address_1": "3101 Joe Ramsey Blvd E Ste 104",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754017762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Greenville, TX
• Providers in Greenville, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2020; 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.