Kimberly Ann Green, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-86192-121 Issued in KS

Practice address

4350 Shawnee Mission Pkwy
Fairway, KS 66205-2507

Phone

(913) 588-0555

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD (past)
• University of Kansas Hospital Authority

  dba Ku Dental Associates

  • Dentist
  • Westwood, KS
  • NPI 1295845758
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1194638122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21413 MILLRIDGE ST",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660836504",
            "telephone_number": "913-306-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SHAWNEE MISSION PKWY",
            "city": "FAIRWAY",
            "state": "KS",
            "postal_code": "662052507",
            "telephone_number": "913-588-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-86192-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairway Eye Center, Inc
• Samantha Annette Fikru, FNP-C
• Mary Beth E Fisher, LCSW
• Four B Corp (Hen House)
• Anne Baldwin Grant, AU.D.
• Tedene Halliwell, RPH
• Matthew Moser Hastings, M.D.
• Catherine Hoff, RN, HEALTH COACH
• Leann Stuewe Howard, MSW, MA
• Elizabeth Gontero Hudek, MD

• Family Nurse Practitioner in Fairway, KS
• Providers in Fairway, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.