Dontae Greenfield

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1027 Clinton St
Ottawa, IL 61350-2039

Phone

(773) 885-8917

NPI assigned

Jun 1, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Atlas Healthcare Management, Inc

  • Nursing Care Agency
  • Calumet City, IL
  • NPI 1699846931
  NPD Authorized official
• Atlas Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkhart, IN
  • NPI 1710783170
  NPD

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1487146858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 CLINTON ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502039",
            "telephone_number": "773-885-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 CLINTON ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502039",
            "telephone_number": "773-885-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "DONTAE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147791",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• German Gonzalo, MD
• Diana Goodwine, MD
• Great Heights Medical LTD.
• Great Heights Otp (Great Heights OTP Ottawa)
• Tiffany Reenae Green, RN
• Robert Matthew Gretencord, D.C.
• Rodney Arthur Griffis, CRNA
• John Christian Grimm
• Gueorgui S Gueorguiev, M.D.
• Raul V Guerrero, MD

• Case Manager/Care Coordinator in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.