Latoya Green, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

818 N Creek Dr
Conway, AR 72032-4711

Phone

(501) 327-9788

Fax

(501) 327-9843

NPI assigned

Apr 18, 2013

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Conway County Community Service Inc.

  • Community/Behavioral Health Agency
  • Morrilton, AR
  • NPI 1770631467
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1528402831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S CHEROKEE ST",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721102656",
            "telephone_number": "501-354-4589",
            "fax_number": "501-354-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N CREEK DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324711",
            "telephone_number": "501-327-9788",
            "fax_number": "501-327-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LATOYA",
        "credential": "MHPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196286795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah Douglas Graves, PHARMD
• Joshua Grant Gray
• Kara Gray
• Kristi Lyn Marie Gray
• Jessie Lee Green, OTR/L
• Madison Aubrey Green
• Terraniesha Green
• Corey Lee Greene, APRN, CNP
• Jo E. Greenhill, APRN, CPNP
• Lathecia Greenlee, RECOVERY ASSISTANT

• Case Manager/Care Coordinator in Conway, AR
• Providers in Conway, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.