Active NPI
Monique Green
- Case Management Agency
- North Charleston, SC
National Provider Identifier
1487053153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 4762 Rivers Ave Ste a
North Charleston, SC 29405-6691 - Phone
- (843) 321-5882
- Fax
- (888) 656-6393
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
4762 Rivers Ave Ste a
North Charleston, SC 29405-6691
Mailing address
8420 Carolina Lily LN
Charlotte, NC 28262-6470
Phone (704) 953-7541
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1487053153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 CAROLINA LILY LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626470",
"telephone_number": "704-953-7541",
"fax_number": "888-656-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4762 RIVERS AVE STE A",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294056691",
"telephone_number": "843-321-5882",
"fax_number": "888-656-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.