Individual provider Active NPI

Gina Ann Green, FNP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1083114730
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3011037 Issued in KY
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3011037OtherKYKY NP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, DC, AL, MS, LA, GA, SC, TN, NC9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20180326000951 KY Practitioner - Nurse Practitioner 0941562284 Reassigns benefits to 2 organizations
I20240806002764 DC Practitioner - Nurse Practitioner 0941562284 Reassigns benefits to 1 organization
I20240808001676 AL Practitioner - Nurse Practitioner 0941562284 Reassigns benefits to 1 organization
I20240816001259 MS Practitioner - Nurse Practitioner 0941562284 Reassigns benefits to 1 organization
I20241009001437 LA Practitioner - Nurse Practitioner 0941562284 Reassigns benefits to 1 organization
I20241023003200 GA Practitioner - Nurse Practitioner 0941562284 Reassigns benefits to 1 organization
I20241127001310 SC Practitioner - Nurse Practitioner 0941562284 Reassigns benefits to 1 organization
I20241220003500 TN Practitioner - Nurse Practitioner 0941562284 Reassigns benefits to 1 organization
I20260309000508 NC Practitioner - Nurse Practitioner 0941562284 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
North Carolina Kidney Care, PC CurrentSince Oct 9, 2024 Accepting new patients
Care Solutions of NC, PC CurrentSince Feb 7, 2026 Accepting new patients
Pennsylvania Kidney Care, P.C. CurrentSince Sep 26, 2024 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.