Kelly Ann Green, F.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

L1-0039390 Issued in DE

Practice address

1405 Foulk Rd Ste 101
Wilmington, DE 19803

Phone

(302) 651-4200

Fax

(302) 651-4945

NPI assigned

Jan 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Ann Kaighn Former name

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgreenfnp@jkp.opdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Obstetrics & Gynecology Physician
  • Chester, PA
  • NPI 1659728160
  NPD
• Advocare, LLC

  dba Advocare Just Kids Pediatrics

  • Pediatrics Physician
  • Newark, DE
  • NPI 1811877475
  NPD (past)
• Kerry Kirifides, M.D., P.a.

  dba Just Kids Pediatrics

  • Pediatrics Physician
  • Newark, DE
  • NPI 1922214030
  NPD (past)
• Drexel Hill Pediatric Associates

  • Pediatric Adolescent Medicine Physician
  • Springfield, PA
  • NPI 1477680874
  NPD (past)
• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265585806
  NPD (past)

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1659618163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FOULK RD STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19803",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Aaa Blvd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197133624",
            "country_code": "US",
            "telephone_number": "302-918-6400",
            "fax_number": "302-918-6412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Aaa Blvd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197133624",
            "country_code": "US",
            "telephone_number": "302-918-6400",
            "fax_number": "302-918-6412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "L1-0039390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "KAIGHN",
            "middle_name": "ANN",
            "credential": "F.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Green
• Jacqueline Anes-Quann Green, AGPCNP
• Jason Green
• Jason Robert Green, M.S.P.T.
• Kathleen Teresa Green, LPN
• Kristen Elizabeth Green, MS, BCBA, LBS
• Kyle David Green, D.D.S.
• Latonyia Anise Green
• Nicole A Green, MD
• Sharif Green

• Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.