Active NPI
Natanya Green
- Case Manager/Care Coordinator
- Thibodaux, LA
National Provider Identifier
1760071070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1418 Tiger Dr
Thibodaux, LA 70301-4337 - Phone
- (985) 449-4055
- Fax
- (985) 449-4178
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14877 | LA | |
| Behavior Technician | 106S00000X | LA | ||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1418 Tiger Dr
Thibodaux, LA 70301-4337
Mailing address
1418 Tiger Dr
Thibodaux, LA 70301-4337
Phone (985) 449-4055
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14877 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1760071070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 TIGER DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014337",
"telephone_number": "985-449-4055",
"fax_number": "985-449-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 TIGER DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014337",
"telephone_number": "985-449-4055",
"fax_number": "985-449-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "NATANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "14877",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.