Active NPI
Nyekazi Green
- Contractor
- Slidell, LA
National Provider Identifier
1477095123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 392 Mansfield Dr
Slidell, LA 70458-7318 - Phone
- (504) 481-6652
- Fax
- (985) 605-7228
- NPI assigned
- Nov 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary | ||
| Driver | 172A00000X | |||
| Adult Companion | 372600000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
392 Mansfield Dr
Slidell, LA 70458-7318
Mailing address
392 Mansfield Dr
Slidell, LA 70458-7318
Phone (504) 481-6652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kazist LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- New Orleans, LA
- NPI 1598288862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1477095123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 MANSFIELD DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704587318",
"telephone_number": "504-481-6652",
"fax_number": "985-605-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 MANSFIELD DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704587318",
"telephone_number": "504-481-6652",
"fax_number": "985-605-7228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "NYEKAZI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-12",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.