Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Douglas Green, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1700217494

Tyler Douglas Green, CNP is a Nurse Practitioner in Dayton, Ohio. Qualified in 2013, 13 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2013
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

7901 Schatz Pointe Dr Ste A
Dayton, OH 45459-3856
Phone: (937) 438-9841
Fax: (937) 438-9851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence COA.15402-NP (OH)

Record details

NPI number1700217494
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 5, 2013
Last updated in NPPESJanuary 26, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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