Quentin Green
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Reserve, LA
NPI 1649015199 · NPPES record last updated Jun 26, 2024
Key facts
- NPI
- 1649015199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 184 E 17TH St
Reserve, LA 70084-5242 - Phone
- (504) 201-3305
- NPI assigned
- Jun 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | LA | Yes |
Addresses
Primary practice location
184 E 17TH St
Reserve, LA 70084-5242
Mailing address
184 E 17TH St
Reserve, LA 70084-5242
Phone (504) 201-3305
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- Maria Anne Hotard Stelly
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- Queysheina Jackson
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All providers in Reserve, LA · Non-emergency Medical Transport (VAN) in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.