THEODORE GREEN
Nurse Practitioner (Family)

Address: 3716 Pacific Ave Ste E, Tacoma, WA 98418-7836

THEODORE GREEN (NPI# 1053954776) 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) 1053954776
Entity Type Individual
Full Name THEODORE GREEN
Gender Male
Practice Address 3716 Pacific Ave Ste E
Tacoma
WA 98418-7836
Practice Telephone 2534745141
Mailing Address 3716 Pacific Ave Ste E
Tacoma
WA 98418-7836
Mailing Telephone 2534745141
Certification Date 2021-03-18
Enumeration Date 2019-10-25
Last Update Date 2021-03-18
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP61015452 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3716 PACIFIC AVE STE E
City TACOMA
State WA
Zip Code 98418-7836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699286336 Annabelle T Vo Nurse Practitioner - Psych/Mental Health 3716 Pacific Ave Ste E, Tacoma, WA 98418-7836 2017-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699163048 Float Capital Funding Corporation · Naturopathic Health Center Non-Pharmacy Dispensing Site 3716 Pacific Ave, Suite H, Tacoma, WA 98418-7836 2015-01-07
1558409441 Fernando Francisco Deguzman Family Medicine 3716 Pacific Ave, Suite D, Tacoma, WA 98418-7836 2007-02-02
1245566843 Southwest Portland Medical Clinic Inc Clinic/Center - Primary Care 3716 Pacific Ave Ste D, Tacoma, WA 98418-7836 2009-11-02
1295812501 Scott Leslie Havsy Physical Medicine & Rehabilitation 3716 Pacific Ave, Suite E, Tacoma, WA 98418-7836 2006-11-01
1831267251 Paul Alexander Massage Therapist 3716 Pacific Ave, Ste E, Tacoma, WA 98418-7836 2006-12-01
1811015399 Surgical Weight Loss Clinic Pllc Clinic/Center - Medical Specialty 3716 Pacific Ave, Suite B, Tacoma, WA 98418-7836 2007-03-26
1316351125 K. Victoria Modica, N.d., Pllc Non-Pharmacy Dispensing Site 3716 Pacific Ave, Suite H, Tacoma, WA 98418-7836 2014-06-19
1497861876 Hay San Meas Obstetrics & Gynecology 3716 Pacific Ave, Suite H, Tacoma, WA 98418-7836 2006-08-21
1578008363 Yu Ri Cho Denturist 3716 Pacific Ave, Suite H, Tacoma, WA 98418-7836 2017-01-03
1649562695 Medicinal Alternative Solutions, LLC · Mas Care Medical Center of Tacoma Internal Medicine 3716 Pacific Ave, Suite H, Tacoma, WA 98418-7836 2011-05-10
Find all in zip 98418-7836

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1710015912 Lincoln Pharmacy LLC · Lincoln Pharmacy Ltc Pharmacy - Long Term Care Pharmacy 821b S 38th St, Tacoma, WA 98418 2007-03-01
1871500322 Michelle Gray Marconi Chiropractor 4537 So. Yakima Ave, Tacoma, WA 98418 2006-08-01
1336686468 Shundra Marie King Counselor - Addiction (Substance Use Disorder) 3629 S D St, Tacoma, WA 98418 2017-01-26
1407166655 Wjm Dental Inc · Willie Mclullum Dds - Children's Dentistry Dentist - General Practice 4002 South M Street, Suite A, Tacoma, WA 98418 2010-10-20
1174972103 Clifford Robinson Counselor - Addiction (Substance Use Disorder) 3629 S D St, Tacoma, WA 98418 2016-06-09
1396103248 Kathlynn R Miller · Kathlynn R Miller Counselor - Addiction (Substance Use Disorder) 3629 S D St, Tacoma, WA 98418 2016-02-08
1649756792 Jaime Armenta Counselor - Addiction (Substance Use Disorder) Tacoma-Pierce County Health Department, 3629 South D Street, Tacoma, WA 98418 2018-07-12
1083622971 Willie James Mccullum Dentist 4002 South 'M' Street, Suite A, Tacoma, WA 98418 2006-08-04
1790977288 Qytrice R Mchenry · Qyrice R Rouina Counselor - Addiction (Substance Use Disorder) 3629 S D St, Tacoma, WA 98418 2007-08-17
1043713332 Mary Ann Lacoursiere Counselor - Addiction (Substance Use Disorder) 3629 S D St, Tacoma, WA 98418 2018-03-13
Find all in zip 98418

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083215073 Kaitlin Price Edwards Nurse Practitioner - Family 1201 Pacific Ave Ste C6, Tacoma, WA 98402-4393 2020-11-05
1033755699 Maryam Roya Jalili Nurse Practitioner - Family 12180 Park Ave S Tacoma Wa 98447, Tacoma, WA 98447-0001 2019-11-19
1023659869 Liliya Artym · Liliya Levandovskaya Nurse Practitioner - Family 1802 Yakima Ave Ste 302, Tacoma, WA 98405-5305 2019-10-02
1003467127 Salome Odja Dockendorf Nurse Practitioner - Family 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 2019-09-20
1013579416 Stephanie Ann Dent Nurse Practitioner - Family 1720 E 67th St Ste 119, Tacoma, WA 98404-4223 2019-07-05
1962064469 Latoya Tia Marie Veliz Nurse Practitioner - Family 2621 170th Street Ct E, Tacoma, WA 98445-7328 2019-07-03
1578021481 Destiny Rose Lett Nurse Practitioner - Family 2505 S 38th St, Tacoma, WA 98409-7372 2019-03-10
1033629571 Matthew Alexander Watson Nurse Practitioner - Family 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 2017-10-11
1376081836 Baby Nellie Tamayo Nurse Practitioner - Family 10021 12th Ave S, Tacoma, WA 98444-4106 2017-02-05
1053864652 Julie Ann Cunningham Nurse Practitioner - Family 1901 S Cedar St Ste 108, Tacoma, WA 98405-2302 2016-07-29
Find all providers in TACOMA

Competitor

Search similar providers

City TACOMA
Zip Code 98418

Providers with similar names

NPI Name Taxonomy Address Enumeration
1548715923 Araceli Theodore Registered Nurse - Ophthalmic 1315 St Joseph Pkwy Ste 1205, Houston, TX 77002-8235 2016-08-16
1023603917 Theodore Attel Acupuncturist 6458 S Quebec St, Centennial, CO 80111-4628 2021-03-03
1659974434 Theodore J Parreco Homemaker 3240 Liberty Rd, Delaware, OH 43015-7813 2020-11-16
1104401306 Theodore Barrett Technician - Personal Care Attendant 4020 Minniosta Ave. Ne, Unit361, Washington, DC 20019 2021-03-10
1861076614 Beverley V Theodore Counselor - Professional 505 Harris Trail Rd Apt 4h, Richmond Hill, GA 31324-4250 2021-05-07
1235729328 Kadidja Theodore Behavioral Analyst 4211 Avenue K, Brooklyn, NY 11210-4950 2021-01-22
1528655347 Theodore Skeriotis Non-emergency Medical Transport (VAN) 4513 Edgewater Dr, Stow, OH 44224-5465 2020-12-28
1609458223 Theodore Ellis Chiropractor 2150 Cleveland St, Clearwater, FL 33765-3211 2021-04-23
1083729669 Theodore S Kytos Dentist - Endodontics 20 Fremont St, Suite 10a, Auxbury, MA 02332-5338 2006-08-21
1235714759 Theodore R Gover LLC Health Maintenance Organization 310 38th St, Vienna, WV 26105-1722 2021-03-16

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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.