MS. LILLY KAYA KYARTHWYN GREEN CNP NPI 1972280816

NPI Information

  • NPI: 1972280816
  • Provider Name: MS. LILLY KAYA KYARTHWYN GREEN, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 199 HIGHWAY 50
    PECOS, NM
    ZIP 87552
  • Phone: (505) 913-1470

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NPI Details

MS. Lilly Kaya Kyarthwyn Green, CNP is a family nurse practitioner in Pecos, NM with 1 years of experience. MS. Lilly Kaya Kyarthwyn Green, CNP NPI is 1972280816. 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:

199 HIGHWAY 50
PECOS, NM
ZIP 87552
Phone: (505) 913-1470

The NPI 1972280816 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 7/3/2023 and was last updated on 12/9/2024.

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
1390200000XStudent in an Organized Health Care Education/Training Program61512NEW MEXICONo
2363LF0000XNurse PractitionerFamily61512NEW MEXICOYes
3390200000XStudent in an Organized Health Care Education/Training ProgramNEW MEXICONo

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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