DARCIA LYNN GREEN (NPI# 1336617414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336617414 |
| Entity Type | Individual |
| Full Name | DARCIA LYNN GREEN |
| Other Name | DARCIA LAVERACK |
| Credential | NP |
| Practice Address |
1100 Goethals Dr Ste E Richland WA 99352-3301 |
| Practice Telephone | 5099423095 |
| Practice Fax Number | 5099423097 |
| Mailing Telephone | 5099423095 |
| Mailing Fax Number | 5099423097 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN088465 | AZ | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP60927294 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1714 W Anklam Rd Ste 104, Tucson, AZ 857452661 | 5206248935 | 5206240053 |
| Street Address |
1100 GOETHALS DR STE E |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943265 | Eugene S Lee | Surgery | 1100 Goethals Dr Ste E, Richland, WA 99352-3301 | 2005-12-15 |
| 1871117481 | William Clark Smith | Physician Assistant | 1100 Goethals Dr Ste E, Richland, WA 99352-3301 | 2020-05-31 |
| 1275097438 | Nicole Sheehan | Physician Assistant | 1100 Goethals Dr Ste E, Richland, WA 99352-3301 | 2019-01-22 |
| 1043606155 | Kayla Ann Banyas | Physician Assistant | 1100 Goethals Dr Ste E, Richland, WA 99352 | 2015-04-15 |
| 1801137716 | Naveen Rawat | Internal Medicine | 1100 Goethals Dr Ste E, Kadlec Clinic Pulmonology, Richland, WA 99352-3301 | 2013-03-04 |
| 1891051314 | Dale G Wilson | Surgery | 1100 Goethals Dr Ste E, Richland, WA 99352-3301 | 2012-04-10 |
| 1487942124 | Kesav Parvataneni | Internal Medicine | 1100 Goethals Dr Ste E, Richland, WA 99352-3301 | 2011-07-15 |
| 1356380836 | John Stoneman | Physician Assistant | 1100 Goethals Dr Ste E, Richland, WA 99352-3301 | 2006-06-06 |
| 1821058850 | Richard J Leone Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1100 Goethals Dr Ste E, Richland, WA 99352 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831753144 | Alece Michelle Mcferran | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2019-04-23 |
| 1427500206 | Joy Mckinnis | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2016-10-27 |
| 1164851069 | David Ralph Trinidad | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875752 | Vincent Gutierrez | Nurse Practitioner | 4120 N 19th St, Tacoma, WA 98406-4718 | 2020-06-11 |
| 1003463951 | Corene Kimberly Irvin | Nurse Practitioner | 15508 80th Avenue Ct E, Puyallup, WA 98375-8489 | 2019-08-23 |
| 1427527233 | Nikki Lillian Nino | Nurse Practitioner | 9819 Harborview Pl, Gig Harbor, WA 98332-1018 | 2018-11-21 |
| 1386134203 | Heather J Mckinney | Nurse Practitioner | 6420 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6722 | 2018-05-16 |
| 1427551159 | Amanda Catherine Maclurg | Nurse Practitioner | 1802 S Yakima Ave Ste 302, Tacoma, WA 98405 | 2018-03-08 |
| 1568850154 | Cara Cook | Nurse Practitioner | 1504 Nw 57th St, Seattle, WA 98107-3017 | 2015-01-05 |
| 1770913022 | Amanda Ray | Nurse Practitioner | 118 Nw 188th St, Shoreline, WA 98177-3033 | 2013-11-24 |
| 1487999140 | Jessica Morgan White | Nurse Practitioner | 2607 Bridgeport Way W Ste 2e, University Place, WA 98466-4725 | 2012-12-06 |
| 1851625701 | Cathy Phan | Nurse Practitioner | 4029 Northwest Ave Ste 301a, Bellingham, WA 98226-9077 | 2009-09-24 |
| 1902054687 | Lk Healthcare Systems, L.L.C. | Nurse Practitioner | 12611 W Sunset Hwy, Suite B, Airway Heights, WA 99001-9427 | 2008-09-05 |
| Find all providers with the same taxonomy | ||||
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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.