IndividualActive
Kelly Greenwood, PA-C
NPI 1275151102 · Physician Assistant · Fort Worth, TX
Provider details
- NPI number
- 1275151102
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA13727 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 W Pulaski St
Fort Worth, TX 76104-2717
Phone: (682) 885-8012
Street-level locationGet directions
Mailing address
Po Box 99213
Fort Worth, TX 76199-0213
Registry dates
- Enumerated
- 2020-07-07
- Last updated
- 2024-06-16
- Certified
- 2024-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.