MARCIA W GREEN


Address: 520 E Douglas Blvd, Tyler, TX 75702-8307
Phone: 9035931721

MARCIA W GREEN (NPI# 1134163868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134163868
Entity Type Individual
Full Name MARCIA W GREEN
Credential FNP
Practice Address 520 E Douglas Blvd
Tyler
TX 75702-8307
Mailing Address Po Box 846098
Dallas
TX 75284-6098
Practice Telephone 9035931721
Mailing Telephone 9033246450
Enumeration Date 2006-06-15
Last Update Date 2014-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 660992 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 202278201 05

Other Providers MARCIA GREEN

NPI Name Taxonomy Address Enumeration
1699876276 Marcia Kay Green Optometrist 75 Boston Post Road, Wayland, MA 01778 2006-09-26
1033651500 Marcia Hindman Green Nurse Practitioner 2101 Dutch Fork Rd, Chapin, SC 29036-7576 2016-11-15

Office Location

Street Address 520 E DOUGLAS BLVD
City TYLER
State TX
Zip Code 75702-8307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316917750 David H Beaird Internal Medicine 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-01-26
1487973350 Rebecca L Monahan Dietitian, Registered 520 E Douglas Blvd, Tyler, TX 75702-8307 2010-05-18
1366671216 Trinity Clinic Clinic/Center 520 E Douglas Blvd, Tyler, TX 75702-8307 2009-07-13
1619152139 Amanda Elizabeth Mullins Nurse Practitioner 520 E Douglas Blvd, Tyler, TX 75702-8307 2008-01-03
1225162753 Robert Brooks Clarke Physician Assistant 520 E Douglas Blvd, Tyler, TX 75702-8307 2007-03-15
1356364178 Neda Esfandiari Family Medicine 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-07-25
1316966971 Albert C Lee Specialist 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-07-18
1407896293 Andria Beth Cardinalli-stein Internal Medicine 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-06-08
1649246315 James Gregory Stovall Internal Medicine 520 E Douglas Blvd, Tyler, TX 75702 2006-02-23
1245206937 Oscar Ray Wilson Family Medicine 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-02-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679116610 Tiffiney Mcmakin Nurse Practitioner 810 E Houston St # 100, Tyler, TX 75702 2019-10-22
1659852507 Krystal Gayle Lilley Licensed Vocational Nurse 100 E Ferguson St Ste 60a, Tyler, TX 75702 2018-08-28
1679029383 Cynthia Lynn Kalawe Physical Therapist 100 E Ferguson, Suite 1204, Tyler, TX 75702 2016-09-01
1649623646 Susan E Oxford Social Worker 13495 Frankston Highway, Tyler, TX 75702 2016-07-14
1053769281 All Kidz Kan Home Health 2902 E Front St, Tyler, TX 75702 2016-05-27
1821415639 Heather Mullins Physical Therapy Assistant 100 E. Ferguson Ste.1204, Tyler, TX 75702 2014-03-19
1346671336 Dennis Keith Johnson Dentist 3081 Hwy. 31 East, Tyler, TX 75702 2013-12-02
1275882201 Bobby Gibson Counselor 401 East Front Street, Ste 233, Tyler, TX 75702 2012-09-06
1144596792 Tina Marie Borke Clinical Neuropsychologist 719 West Front St., Tyler, TX 75702 2012-03-28
1457629529 James Whaley Rapp Specialist/Technologist 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 2011-12-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841830601 David Clay Mcintyre Nurse Practitioner 7924 S Broadway Ave Ste 900, Tyler, TX 75703-5252 2020-01-09
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1477925600 Brenda Leath Goings Nurse Practitioner 703 S Fleishel Ave # 5000, Tyler, TX 75701 2015-10-27
1750708368 Crossway Family Health Center Pllc Nurse Practitioner 6004 South Broadway, Tyler, TX 75703-4424 2014-03-20
1780952580 Loretta Eve Wilson Nurse Practitioner 700 Olympic Plaza Cir Ste 904, Tyler, TX 75701-1958 2011-12-07
1558442376 Christina Danielle Barnes Nurse Practitioner 800 E Dawson St - Hospitalists, Tyler, TX 75701 2006-10-18
1164406773 Gayle Pegler Varnell Nurse Practitioner 3900 University Blvd, Tyler, TX 75799-0001 2005-12-06
1922080076 Kerry Scruggs Nurse Practitioner 3310 Patriot Dr, Tyler, TX 75701-6606 2005-11-15
1003414525 Abram Ambriz Nurse Practitioner 2608 Mcdonald Rd, Tyler, TX 75701-5934 2020-10-16
1396350039 Lorna Casey Blakney Nurse Practitioner 1305 Doctors Dr, Tyler, TX 75701-2263 2020-09-10
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Competitor

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City TYLER
Zip Code 75702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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