Individual provider Active NPI

Devon Renee Green, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1952083693
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61471341 Issued in WA
Practice address
150 Prospect St
Seattle, WA 98109-3750
Phone
(206) 422-3622
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61471341 WA Primary

Addresses

Primary practice location

150 Prospect St
Seattle, WA 98109-3750

Mailing address

150 Prospect St
Seattle, WA 98109-3750
Phone (206) 422-3622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 112TH Ave NE
Suite C187
Bellevue, WA 98004-3749

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61471341WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PS CurrentSince Jan 1, 2024 Accepting new patients
Skin Surgery Center, P.S. CurrentSince Jan 1, 2024 Accepting new patients

Locations

302 Innovation Dr
Ste 400
Franklin, TN 37067

1551 116th Ave NE
Bellevue, WA 98004
Phone (425) 453-8647

1229 Madison St
Ste 1480
Seattle, WA 98104
Phone (206) 346-6647

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1952083693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROSPECT ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093750",
            "telephone_number": "206-422-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROSPECT ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093750",
            "telephone_number": "206-422-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DEVON",
        "middle_name": "RENEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61471341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.