Active NPI
Teresa Duarte Green, MD
- Sleep Medicine (Internal Medicine) Physician
- Longview, WA
National Provider Identifier
1962496828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- MD61027086
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 414-7800
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD61027086 | WA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 15792 | NH | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD61027086 | WA | Primary |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
580 Saint Johnsbury Rd
Suite a
Littleton, NH 03561-3437
Phone (603) 259-7780
Other practice location 1
580 Saint Johnsbury Rd
Suite A
Littleton, NH 03561-3437
Phone (603) 259-7780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15792 | NH | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littleton Hospital Association | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Richmond Community Emergency Assoc | Past | Accepting new patients | |
| St Francis Emergency Associates Inc | Past | Accepting new patients | |
| Harris Regional Hospital Inc | Sleep Medicine | Past | Accepting new patients |
| Western Carolina Pulmonary & Critical Care, PLLC | Past | Accepting new patients | |
| Virginia Emergency Associates Inc | Past | Accepting new patients |
Locations
600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000
580 Saint Johnsbury Rd
Ste A
Littleton, NH 03561
Phone (603) 259-7780
Interoperability endpoints
- tgreen429014@direct.peacehealth.org
Organizations & group practices 8
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.
-
- Critical Access Hospital
- Littleton, NH
- NPI 1144223702
-
- Orthopaedic Surgery Physician
- Franconia, NH
- NPI 1134497688
-
- Durable Medical Equipment & Medical Supplies
- Littleton, NH
- NPI 1174398846
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1720089659
-
- Emergency Medicine Physician
- Midlothian, VA
- NPI 1376641357
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1639170558
-
- Pulmonary Disease Physician
- Sylva, NC
- NPI 1740267897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1962496828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 SAINT JOHNSBURY RD",
"address_2": "SUITE A",
"city": "LITTLETON",
"state": "NH",
"postal_code": "035613437",
"telephone_number": "603-259-7780",
"fax_number": "603-259-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322367",
"telephone_number": "360-414-7800"
}
],
"practiceLocations": [
{
"address_1": "580 Saint Johnsbury Rd",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "NH",
"postal_code": "035613437",
"country_code": "US",
"telephone_number": "603-259-7780",
"fax_number": "603-259-7778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "TERESA",
"middle_name": "DUARTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61027086",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NH",
"license": "15792",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WA",
"license": "MD61027086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.