Active NPI
Kinley Green
- Homemaker
- Marysville, OH
National Provider Identifier
1104656495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 11780 Watkins Rd
Marysville, OH 43040-8708 - Phone
- (614) 558-3979
- NPI assigned
- Aug 2, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
11780 Watkins Rd
Marysville, OH 43040-8708
Mailing address
11780 Watkins Rd
Marysville, OH 43040-8708
Phone (614) 558-3979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1104656495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11780 WATKINS RD",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430408708",
"telephone_number": "614-558-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11780 WATKINS RD",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430408708",
"telephone_number": "614-558-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "KINLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.