Active NPI
Shanika Greenleaf
- Case Manager/Care Coordinator
- Plaquemine, LA
National Provider Identifier
1689256802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 58155 Chinn St
Plaquemine, LA 70764-3601 - Phone
- (225) 385-4543
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
58155 Chinn St
Plaquemine, LA 70764-3601
Mailing address
13170 Dutchtown Point Ave Apt 433
Gonzales, LA 70737-0102
Phone (985) 688-1712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017012508 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WellSky | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1689256802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13170 DUTCHTOWN POINT AVE APT 433",
"city": "GONZALES",
"state": "LA",
"postal_code": "707370102",
"telephone_number": "985-688-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58155 CHINN ST",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707643601",
"telephone_number": "225-385-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENLEAF",
"first_name": "SHANIKA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017012508",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WellSky",
"affiliation": "N",
"endpointDescription": "Progress Notes are input",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Progress Notes",
"address_1": "58155 Chinn St",
"city": "Plaquemine",
"state": "LA",
"country_code": "US",
"postal_code": "707643601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plaquemine, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.