Individual Healthcare Provider
Kim L Green
Provider's NPPES record last updated: June 27, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003177973
- Primary Specialty
- Technician — Personal Care Attendant
- Practice Location
- Las Vegas, Nevada
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:20 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Technician
Personal Care Attendant
Nursing Service Related Providers
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Taxonomy code 3747P1801X Behavior Analyst
Behavioral Health & Social Service Providers
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Taxonomy code 103K00000X
Practice Locations
Practice Location
6330 Mcleod Dr Ste 3
Las Vegas, Nevada 89120-4431
Phone: (702) 487-5480
Additional Practice Location
3560 W Cheyenne Ave
Suite 130
North Las Vegas, Nevada 89032-8260
Phone: (702) 258-8023
Record Information
- Enumeration Date
- June 6, 2012
- Provider's NPPES Record Last Updated
- June 27, 2019
- NPISignal NPPES Dataset
- August 2026
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