Individual provider Active NPI

Tricia G. Green, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, TX
National Provider Identifier
1972937316
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP124042 Issued in TX
Practice address
907 Kincaid PL
Longview, TX 75604
Phone
(512) 450-4094
NPI assigned
Aug 21, 2013
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 808780 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP124042 TX Primary

Addresses

Primary practice location

907 Kincaid PL
Longview, TX 75604

Mailing address

2001 South Medford Drive
Richmond, TX 77469-4463
Phone (936) 639-1141

Other practice location 1

825 E Rundberg Ln # F
Austin, TX 78753-4808
Phone (512) 804-3900

Other names 1

  • Patricia Anglea Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131104001338 TX Practitioner - Nurse Practitioner 7517192230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrews CenterGroup PAC ID 9739170770, 23 clinicians

Practice addresses (Care Compare)

2323 W Front St
Tyler, TX 75702-7704
Phone (903) 597-1351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP124042TXMDPsychiatric/Mental Health Nurse Practitioner
808780TXMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews Center CurrentSince Jul 14, 2025 Accepting new patients
Andrews Center -Pinkerton CurrentSince Jul 14, 2025 Accepting new patients
Andrews Center Current Accepting new patients
Collin County Mental Health Mental Retardation Center Psychiatric/Mental Health CurrentSince Mar 14, 2016 Accepting new patients
Andrews Center - Mr Past Accepting new patients

Locations

575 W State Highway 243
Canton, TX 75103
Phone (903) 567-4197

1515 Heritage Dr
Ste 105
McKinney, TX 75069
Phone (972) 562-0331

7308 Alma Dr
Plano, TX 75025
Phone (972) 422-5939

1722 W Front St
Tyler, TX 75702
Phone (903) 593-4004

2323 W Front St
Tyler, TX 75702
Phone (903) 535-7355

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1972937316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SOUTH MEDFORD DRIVE",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694463",
            "telephone_number": "936-639-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 KINCAID PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75604",
            "telephone_number": "512-450-4094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 E Rundberg Ln # F",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787534808",
            "country_code": "US",
            "telephone_number": "512-804-3900",
            "fax_number": "512-804-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TRICIA",
        "middle_name": "G.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "808780",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP124042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ANGLEA",
            "credential": "APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.