Individual provider Active NPI

Sunny Ghere Green, NP

  • Family Nurse Practitioner
  • Gonzales, LA
National Provider Identifier
1649543752
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06727 Issued in LA
Practice address
1702 N Burnside Ave
Gonzales, LA 70737-2141
Phone
(225) 647-8319
Fax
(225) 644-5213
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06727 LA Primary

Addresses

Primary practice location

1702 N Burnside Ave
Gonzales, LA 70737-2141

Mailing address

1702 N Burnside Ave
Gonzales, LA 70737-2141
Phone (225) 647-8319

Other identifiers 1

IdentifierTypeStateIssuer
2181319MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120427000692 LA Practitioner - Nurse Practitioner 4385806850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians

Practice addresses (Care Compare)

8595 Picardy Ave
Suite 100
Baton Rouge, LA 70809-3674
Phone (225) 763-4900

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06727LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Jul 1, 2013 Accepting new patients

Locations

9001 Summa Ave
Ste 448
Baton Rouge, LA 70809

8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8585 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

Interoperability endpoints

  • Direct secure messaging: sgreen20913@brgeneralhealthsystem.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1649543752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372141",
            "telephone_number": "225-647-8319",
            "fax_number": "225-644-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372141",
            "telephone_number": "225-647-8319",
            "fax_number": "225-644-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SUNNY",
        "middle_name": "GHERE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2181319",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.