Individual provider Active NPI

Chassidy Green, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1811311756
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07558 Issued in LA
Practice address
5151 Plank Rd Ste 160
Baton Rouge, LA 70805-3501
Phone
(225) 778-7599
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 AP07558 LA Primary

Addresses

Primary practice location

5151 Plank Rd Ste 160
Baton Rouge, LA 70805-3501

Mailing address

5151 Plank Rd Ste 160
Baton Rouge, LA 70805-3501
Phone (225) 778-7599

Other practice location 1

901 Catalpa St
Donaldsonville, LA 70346-2945
Phone (225) 257-4448

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S International L.L.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1811311756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 PLANK RD STE 160",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708053501",
            "telephone_number": "225-778-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 PLANK RD STE 160",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708053501",
            "telephone_number": "225-778-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Catalpa St",
            "address_purpose": "LOCATION",
            "city": "Donaldsonville",
            "state": "LA",
            "postal_code": "703462945",
            "country_code": "US",
            "telephone_number": "225-257-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHASSIDY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.