IndividualActive
Kimberly Green, RNAS-C
NPI 1336847623 · Registered Nurse First Assistant · Tyler, TX
Provider details
- NPI number
- 1336847623
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Credential
- RNAS-C
- Sex
- Female
- Sole proprietor
- No
- License
- 936159 (TX)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
8591 S Broadway Ave
Tyler, TX 75703-5470
Phone: (903) 606-8840
Fax: (903) 510-1121
Street-level locationGet directions
Mailing address
8591 S Broadway Ave
Tyler, TX 75703-5470
Registry dates
- Enumerated
- 2023-02-16
- Last updated
- 2023-02-16
- Certified
- 2023-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.