Individual provider Active NPI

Greg Allen Tiritilli, RAC

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1851902167
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
150 Cora Dr
Baton Rouge, LA 70815-4201
Phone
(225) 387-1611
Fax
(225) 347-5300
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1387 LA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

150 Cora Dr
Baton Rouge, LA 70815-4201

Mailing address

150 Cora Dr
Baton Rouge, LA 70815-4201
Phone (225) 387-1611

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

LicenseStateTypeSpecialty
1387LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1851902167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CORA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154201",
            "telephone_number": "225-387-1611",
            "fax_number": "225-347-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CORA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154201",
            "telephone_number": "225-387-1611",
            "fax_number": "225-347-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRITILLI",
        "first_name": "GREG",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "RAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1387",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 May 6, 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.

Verify at the official NPI Registry.