Tasha Yvette Green, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1071820 Issued in TX

Practice address

521 N Beaton St
Corsicana, TX 75110-3142

Phone

(903) 307-3177

NPI assigned

Jun 8, 2022

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1972232437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1895",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757511895",
            "telephone_number": "903-203-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N BEATON ST",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103142",
            "telephone_number": "903-307-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TASHA",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen E Gonzales, COTA
• Esther Gonzalez Medina, PT, DPT
• Dekedria Goodwin
• Kimberly Dawn Green, M.S., LPC
• Richard Neal Green Sr., M.D.
• Naomi Guerra
• Sarah M Guerrero, LMT
• H-E-B, LP
• Lena Ladell Haile, COTA
• James K Hall Jr., M.D.

• Family Nurse Practitioner in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.