Kimberly Green

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KIMBERLY GREEN

Practice address

580 Ellis Rd S Ste 118
Jacksonville, FL 32254-3567

Phone

(904) 745-0067

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Green

Title

Targeted Case Manager

Phone

(904) 325-9605

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1497318455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 ELLIS RD S STE 118",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ELLIS RD S STE 118",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543567",
            "telephone_number": "904-745-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY GREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "TARGETED CASE MANAGER",
        "authorized_official_telephone_number": "904-325-9605",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sungjune Kim, M.D. PH.D.
• Tae Yung Kim, DMD
• Yon Son Betty Kim, MD, PHD, FRCSC
• Mary Katherine Kimball, PA
• Peter Kimball, PA-C
• Kimberly Van Scriver MD PA
• Bobby Joe Neal Kimbro, FNP-C
• Myesha Kimbrough
• Robert Otis Kimbrough II
• Kimistry Health Express, LLC.

• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.