KIMBERLY RUTH GREEN RNAS-C
NPI 1336847623
Registered Nurse - Registered Nurse First Assistant in Tyler, TX

Q: What is Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1336847623. It was assigned to this individual provider in the NPPES registry on February 16, 2023. The provider is also known as Kimberly Ruth Walley Lvn.

Q: What is Kimberly Green's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Registered Nurse First Assistant, with taxonomy code 163WR0006X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Green was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since February 16, 2023

8591 S BROADWAY AVE, TYLER, TX 75703(903) 606-8840(903) 510-1121 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Ruth Green Rnas-c NPPES

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

KIMBERLY RUTH GREEN RNAS-C (NPI 1336847623) is an individual registered nurse first assistant in Tyler, Texas, licensed in Texas (936159) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1336847623

Entity TypeIndividualFemale

Primary Taxonomy163WR0006X

Provider Legal NameKIMBERLY RUTH GREENCredential: RNAS-C

Location Address8591 S BROADWAY AVETyler, TX 75703-5470

Mailing Address8591 S Broadway AveTyler, TX 75703-5470 · (903) 606-8840 · Fax (903) 510-1121

Phone(903) 606-8840

Fax(903) 510-1121

Sole ProprietorNo

Enumeration DateFebruary 16, 2023

NPPES CertifiedFebruary 16, 2023

✔ NPI 1336847623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Registered Nurse First AssistantNursing Service Providers

Taxonomy Code163WR0006X

License✔ Licensed in TX · 936159

Definition

A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.

8591 S BROADWAY AVE, Tyler, TX 75703

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Other Names 1

Former Name (1)Kimberly Ruth Walley Lvn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY LYN TOMLIN NP

Nurse Practitioner