Kemble Green, NP

Nurse practitioner in Dallas, Texas · NPI 1205292703

Kemble Green is one of 1,896 nurse practitioners practicing in Dallas, Texas. Kemble Green practices with Daiya Healthcare PLLC.

Registry record (NPPES)

NPI
1205292703
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Address on file
10365 SE Sunnyside Rd Ste 340
Clackamas, OR 97015-5751
(541) 579-2800
Enumerated
Jan 13, 2016
Record last updated
May 13, 2021
License states listed
OR

Medicare (CMS)

Enrollment
Medicare-enrolled in CA, HI, NM, OR, TX, WA
Nurse Practitioner
Revalidation due
No date set by CMS

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  • Procedure volumes by CPT code
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  • Full enrollment history
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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.