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DESTINY GREEN ICCE
NPI 1861375040
Specialist in Federal Way, WA

Active since July 28, 2025
2227 SW 342ND ST, FEDERAL WAY, WA 98023(206) 661-3788 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Destiny Green Icce NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINY GREEN ICCE (NPI 1861375040) is an individual specialist in Federal Way, Washington, licensed in Washington (141014) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1861375040
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDESTINY GREENCredential: ICCE
Location Address2227 SW 342ND STFederal Way, WA 98023-7740
Mailing Address2227 Sw 342nd StFederal Way, WA 98023-7740
Phone(206) 661-3788
Sole ProprietorNo
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 27, 2025
✔ NPI 1861375040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · 141014
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2227 SW 342ND ST, Federal Way, WA 98023
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destiny Green's NPI number?

The NPI number for Destiny Green is 1861375040. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Destiny Green located?

Destiny Green practices at 2227 SW 342nd St, Federal Way, WA 98023. The listed phone number is (206) 661-3788.

What is Destiny Green's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Destiny Green was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.