MS. MARISSA ROSE GREEN (NPI# 1619438587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619438587 |
| Entity Type | Individual |
| Full Name | MS. MARISSA ROSE GREEN |
| Credential | ARNP |
| Practice Address |
4320 196th St Sw Ste D Lynnwood WA 98036-6753 |
| Practice Telephone | 4257748758 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60950065 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4320 196TH ST SW STE D |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588638787 | Richard John Montminy | Preventive Medicine | 4320 196th St Sw Ste D, Us Healthworks Medical Group, Lynnwood, WA 98036-6753 | 2006-02-14 |
| 1740763549 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 4320 196th St Sw Ste D, Lynnwood, WA 98036-6753 | 2018-09-08 |
| 1447733241 | American Current Care of Washington, P.s. | Clinic/Center | 4320 196th St Sw Ste D, Lynnwood, WA 98036-6753 | 2018-09-08 |
| 1497935175 | Bradley Wayne Hudec | Family Medicine | 4320 196th St Sw Ste D, Lynnwood, WA 98036-6753 | 2007-11-09 |
| 1902910268 | Jin Liang Guo | Physician Assistant | 4320 196th St Sw Ste D, Lynnwood, WA 98036-6753 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285103358 | Sita Maharjan | Nurse Practitioner | 19230 Alderwood Mall Pkwy Ste 120, Lynnwood, WA 98036-4869 | 2018-11-19 |
| 1548625189 | Sue Lee | Nurse Practitioner | 19820 Scriber Lake Rd Ste 2, Lynnwood, WA 98036-6121 | 2015-12-28 |
| 1386077998 | Laura Ngozi Adiele | Nurse Practitioner | 4725 196th St Sw Ste 105, Lynnwood, WA 98036-5518 | 2013-08-19 |
| 1619108438 | Stephanie A Shoemaker | Nurse Practitioner | 3501 Shelby Rd Ste B, Lynnwood, WA 98087-3599 | 2009-07-28 |
| 1124149026 | Kimberly 'kimmer' Verlynn Collison-ris | Nurse Practitioner | 16425 48th Ave W, Suite 215, Lynnwood, WA 98037 | 2007-04-02 |
| 1770101396 | Tiyanna C Rodgers | Nurse Practitioner | 3501 Shelby Rd Ste B, Lynnwood, WA 98087-3599 | 2020-07-09 |
| 1528543634 | Jennifer Kristen Nathans | Nurse Practitioner | 4111 194th St Sw, Lynnwood, WA 98036-4604 | 2018-09-25 |
| 1952844987 | Elizabeth Ann Jones | Nurse Practitioner | 3501 Shelby Rd Ste B, Lynnwood, WA 98087 | 2016-11-22 |
| 1053798546 | Spectrum Care, Pllc | Nurse Practitioner | 16825 48th Ave W, 117, Lynnwood, WA 98037-6401 | 2015-05-04 |
| 1730460668 | Lisa M.b. Sieberson | Nurse Practitioner | 19401 40th Ave W, Suite 230, Lynnwood, WA 98036-4612 | 2011-09-06 |
| Find all providers in LYNNWOOD | ||||
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| 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.