Jena Paige Green

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

305 E Mississippi Ave Ste 1
Ruston, LA 71270-3905

Phone

(318) 202-3706

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1629646989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 SAINT JOHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E MISSISSIPPI AVE STE 1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703905",
            "telephone_number": "318-202-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JENA",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Clinic Surgical Center
• Green Clinic Surgical Hospital Crna Group
• Green Clinic Surgical Hospital, LLC
• Brittany Green
• Janie Green
• Kelly Green, DPT
• Keeansia Greenwood
• Brittany B Griep
• Jenny Leigh Griggs
• Benson Albert Grigsby, M.D.

• All providers in Ruston, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.