Active NPI
Gina Ann Green, FNP
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3011037
- Practice address
- 401 W Main St Ste 1810
Louisville, KY 40202-2927 - Phone
- (888) 349-1116
- NPI assigned
- Feb 20, 2018
- Last updated
- Oct 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | GAA-NP002452 | GA | |
| Nurse Practitioner | 363L00000X | 3-001853 | AL | |
| Nurse Practitioner | 363L00000X | 237336 | LA | |
| Nurse Practitioner | 363L00000X | 71014463A | IN | |
| Nurse Practitioner | 363L00000X | 0032484 | OH | |
| Nurse Practitioner | 363L00000X | 3011037 | KY | Primary |
| Family Nurse Practitioner | 363LF0000X | 3011037 | KY |
Addresses
Primary practice location
401 W Main St Ste 1810
Louisville, KY 40202-2927
Mailing address
12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7364
Other practice location 1
2529 Six Mile Ln
Louisville, KY 40220-2934
Phone (502) 491-5560
Other practice location 2
3100 45th St Ste 3
Highland, IN 46322-3277
Phone (888) 998-7337
Other practice location 3
2311 Wilson Blvd Fl 3
Arlington, VA 22201-5436
Phone (804) 571-2336
Other practice location 4
5100 Poplar Ave Fl 27
Memphis, TN 38137-2701
Phone (901) 625-5408
Other practice location 5
1320 Main St Ste 351
Columbia, SC 29201-3204
Phone (980) 443-4852
Other practice location 6
3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997
Phone (470) 613-7878
Other practice location 7
11 N Water St Fl 10
Mobile, AL 36602-5010
Phone (205) 860-7878
Other practice location 8
232 Market St Ofc 236
Flowood, MS 39232-3339
Phone (601) 688-7878
Other practice location 9
2900 Westfork Dr Ste 401
Baton Rouge, LA 70827-0010
Phone (504) 910-7878
Other practice location 10
9039 Springboro Pike Ste C
Miamisburg, OH 45342-5442
Phone (720) 204-5760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3011037 | Other | KY | KY NP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, DC, AL, MS, LA, GA, SC, TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1125 17TH St
Suite 1000
Denver, CO 80202-2043
1125 17TH St
Suite 1000
Denver, CO 80202-2092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Kidney Care, PC | Current | Accepting new patients | |
| Care Solutions of NC, PC | Current | Accepting new patients | |
| Pennsylvania Kidney Care, P.C. | Current | Accepting new patients |
Locations
1125 17th St
Ste 1000
Denver, CO 80202
Phone (855) 962-4638
1600 Stout St
#20000
Denver, CO 80202
1600 Stout St
Ste 20
Denver, CO 80202
1600 Stout St
Ste 2000
Denver, CO 80202
Phone (720) 240-5760
4208 Six Forks Rd
Ste 1000
Raleigh, NC 27609
Phone (919) 877-6800
1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541
5100 Poplar Ave
Memphis, TN 38137
Phone (901) 625-5408
5100 Poplar Ave
Fl 27
Memphis, TN 38137
Phone (205) 538-3076
Interoperability endpoints
- strivehealthnc.ginagreen@147988.advancedmd-direct.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1083114730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 BLUEGRASS PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992361",
"telephone_number": "502-568-7364",
"fax_number": "502-568-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W MAIN ST STE 1810",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022927",
"telephone_number": "888-349-1116"
}
],
"practiceLocations": [
{
"address_1": "2529 Six Mile Ln",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402202934",
"country_code": "US",
"telephone_number": "502-491-5560",
"fax_number": "502-491-0214",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 45th St Ste 3",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "IN",
"postal_code": "463223277",
"country_code": "US",
"telephone_number": "888-998-7337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2311 Wilson Blvd Fl 3",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222015436",
"country_code": "US",
"telephone_number": "804-571-2336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5100 Poplar Ave Fl 27",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381372701",
"country_code": "US",
"telephone_number": "901-625-5408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 Main St Ste 351",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292013204",
"country_code": "US",
"telephone_number": "980-443-4852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3330 Cumberland Blvd SE Ste 500",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303395997",
"country_code": "US",
"telephone_number": "470-613-7878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 N Water St Fl 10",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366025010",
"country_code": "US",
"telephone_number": "205-860-7878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "232 Market St Ofc 236",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392323339",
"country_code": "US",
"telephone_number": "601-688-7878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Westfork Dr Ste 401",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708270010",
"country_code": "US",
"telephone_number": "504-910-7878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9039 Springboro Pike Ste C",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453425442",
"country_code": "US",
"telephone_number": "720-204-5760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "GINA",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "GAA-NP002452",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "3-001853",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "237336",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71014463A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "0032484",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3011037",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3011037",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY NP LICENSE",
"identifier": "3011037",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.