Kimberly Nicole Greer, RN, IBCLC
Individual provider Active NPI Registered Nurse · Warrior, AL
NPI 1821662370 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1821662370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1-145117 (AL)
- Practice address
- 357 Tavel Rd
Warrior, AL 35180-3915 - Phone
- (205) 743-9710
- NPI assigned
- May 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-145117 | AL | MD | Registered Nurse |
| L-301315 | AL | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-301315 | AL | |
| Registered Nurse | 163W00000X | 1-145117 | AL | Yes |
Addresses
Primary practice location
357 Tavel Rd
Warrior, AL 35180-3915
Mailing address
357 Tavel Rd
Warrior, AL 35180-3915
Phone (205) 743-9710
Other providers in Warrior, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.