Angela E Green, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036166585 Issued in IL

Practice address

9900 Lake Forest Blvd Ste F
New Orleans, LA 70127-2609

Phone

(504) 620-0500

NPI assigned

Feb 26, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA, IL, WA, AL4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.greendo.p1@direct.cfg.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LMG LLC

  • Orthopaedic Surgery Physician
  • Metairie, LA
  • NPI 1871919936

  Psychiatry

  Medicare reassignment NPD
• Northeast Delta Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1033551833
  Medicare reassignment NPD
• One Telemed LLC

  • Psychiatry Physician
  • Lafayette, LA
  • NPI 1750808911
  Medicare reassignment NPD
• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Medicare reassignment NPD
• King County Public Hospital District No 2

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment NPD
• TP-Health Incorporated

  • Psychiatry Physician
  • Missouri City, TX
  • NPI 1760047526

  AL

  Medicare reassignment NPD
• Virginia Mason Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1801851258
  Medicare reassignment NPD
• LMG, LLC

  • Orthopaedic Surgery Physician
  • Covington, LA
  • NPI 1356807663
  NPD
• Northeast Delta Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tallulah, LA
  • NPI 1689016487
  NPD
• Northeast Delta Human Services Authority

  • Primary Care Clinic/Center
  • Monroe, LA
  • NPI 1790158681
  NPD
• CGH Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Morrison, IL
  • NPI 1447415724
  NPD
• King County Public Hospital District No 2

  • Internal Medicine Physician
  • Kirkland, WA
  • NPI 1467542639
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1114196995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 CLEVELAND PL",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700031021",
            "telephone_number": "504-430-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 LAKE FOREST BLVD STE F",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272609",
            "telephone_number": "504-620-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANGELA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036166585",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "DO.000157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038024",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444642",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1925349",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Green Ribbon Gulf Coast LLC
• Mary Elizabeth Green-Keys, LOTR,CAPS
• Patricia Green-Metz, LMSW
• Cathy Green-Miner, LPC-S, DCC, NCC
• Ana L Green
• Asia Green
• Bridgette D Green, LPN
• Camellia Green, LPC
• Chandra Jordan Green
• Christopher Ryan Green, M.D.

• Psychiatry Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.