Kayla Mae Green, MSN, APRN, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Burlington, VT
NPI 1033840970 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1033840970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 101.0135539 (VT)
- Practice address
- 617 Riverside Ave
Burlington, VT 05401-1601 - Phone
- (802) 864-6309
- NPI assigned
- Jun 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Yale University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of Burlington Inc
Practice addresses (Care Compare)
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920000072 | VT | Practitioner - Nurse Practitioner | 5294110748 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Burlington Inc | Current |
Accepting new patients | |
| Community Health Centers of Burlington Inc | Current |
Accepting new patients |
Locations
617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158
Interoperability endpoints
- kayla.green.p1@direct.chcb.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.0135539 | VT | Yes |
Addresses
Primary practice location
617 Riverside Ave
Burlington, VT 05401-1601
Mailing address
617 Riverside Ave
Burlington, VT 05401-1601
Phone (808) 864-6309
Other providers in Burlington, VT
- Green Mountain Rehabilitation & Sports Medicine LLC
- Andrea Elizabeth Green
- Curtis Green
- Hannah E. Green
- Joshua D. Green
- Caitlin Greenberg
- Rori Greenberg
- Emily Greenberger
- Molly Greenblat
- Marc Steven Greenblatt
All providers in Burlington, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.