KATHLEEN ANN GREEN RNC NNP NPI 1093869836

NPI Information

  • NPI: 1093869836
  • Provider Name: KATHLEEN ANN GREEN, RNC, NNP
  • Classification: Nurse Practitioner - 363LN0005X
  • Specialization: Neonatal, Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 E 77TH ST
    NEW YORK, NY
    ZIP 10021
  • Phone: (212) 434-2565

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NPI Details

Kathleen Ann Green, RNC, NNP is a neonatal and critical care nurse practitioner in New York, NY. Kathleen Ann Green, RNC, NNP NPI is 1093869836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 E 77TH ST
NEW YORK, NY
ZIP 10021-850
Phone: (212) 434-2565
Fax: (212) 434-4149

The NPI 1093869836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LN0005XNurse PractitionerNeonatal, Critical CareF350059NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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