Green Valley Rural Clinics, LLC
NPI 1962602821ActiveOrganization· Nurse Practitioner, Family· Pikeville, KY
Nurse Practitioner, Family in Pikeville, Kentucky, registered in NPPES in July 2007. The authorized official on file is Djien H. So, Administrator.
Overview
| NPI | 1962602821 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2007 |
| Last updated in NPPES | Nov 1, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Allergy & Immunology | 207K00000X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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