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

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: July 19, 2026.

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
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

Other Names 1

Former Name (1)Kimberly Ruth Walley Lvn

Accepted Insurance

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
8591 S BROADWAY AVE
TYLER, TX 75703
Registered Nurse (Registered Nurse First Assistant)
8591 S BROADWAY AVE
TYLER, TX 75703
Registered Nurse (Registered Nurse First Assistant)
8591 S BROADWAY AVE
TYLER, TX 75703
Registered Nurse (Registered Nurse First Assistant)
8591 S BROADWAY AVE
TYLER, TX 75703
Registered Nurse (Registered Nurse First Assistant)
8591 S BROADWAY AVE
TYLER, TX 75703
Nurse Practitioner (Family)
8591 S BROADWAY AVE
TYLER, TX 75703
Student in an Organized Health Care Education/Training Program
8591 S BROADWAY AVE
TYLER, TX 75703
Nurse Practitioner
8591 S BROADWAY AVE
TYLER, TX 75703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336847623, enumerated as an "individual" on February 16, 2023.

The provider is located at 8591 S BROADWAY AVE TYLER, TX 75703 and the phone number is (903) 606-8840.

Registered Nurse with taxonomy code 163WR0006X and a focus in Registered Nurse First Assistant.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and CHRISTUS. Please consult your insurance carrier or call the provider to verify.