Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alycia Marie Green

Individual provider Registered Nurse · NPI 1861002099

Alycia Marie Green is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2020, 6 years ago. Practices with University of Louisville Physicians Inc, a 1,433-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

908 Dupont Rd
Louisville, KY 40207-4602
Phone: (502) 749-7909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3015106 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1104001 (KY)

Record details

NPI number1861002099
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2020
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Of Louisville Physicians Inc — 1433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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