Individual provider Active NPI

Tiffany Green Terra, F.N.P.

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1689013427
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07326 Issued in LA
Practice address
2900 Forsythe Ave
Monroe, LA 71201-3010
Phone
(318) 600-4364
NPI assigned
Jun 14, 2013
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 AP07326 LA Primary

Addresses

Primary practice location

2900 Forsythe Ave
Monroe, LA 71201-3010

Mailing address

2900 Forsythe Ave
Monroe, LA 71201-3010
Phone (318) 600-4364

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
I20140121001453 LA Practitioner - Nurse Practitioner 6800023532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geaux Family Health, LLCGroup PAC ID 6608003553, 2 clinicians

Practice addresses (Care Compare)

2900 Forsythe Ave
Monroe, LA 71201-3010
Phone (318) 600-4364

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07326LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geaux Family Health, LLC CurrentSince Jun 12, 2012 Accepting new patients

Locations

1401 N 18th St
Ste A
Monroe, LA 71201
Phone (318) 600-4364

2900 Forsythe Ave
Monroe, LA 71201
Phone (318) 600-4364

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1689013427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013010",
            "telephone_number": "318-600-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013010",
            "telephone_number": "318-600-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRA",
        "first_name": "TIFFANY",
        "middle_name": "GREEN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.