ABIGAIL MACKENZIE GREEN
NPI 1396548160
Student in an Organized Health Care Education/Training Program in Jefferson, LA

Q: What is Abigail Green's NPI number?

The NPI number for Abigail Green is 1396548160. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Q: What is Abigail Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Abigail Green was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2025PECOS Enrolled

1401 JEFFERSON HWY FL CENTER1, JEFFERSON, LA 70121(504) 842-3260(504) 842-3193 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Abigail Mackenzie Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABIGAIL MACKENZIE GREEN (NPI 1396548160) is an individual student in an organized health care education/training program in Jefferson, Louisiana and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396548160

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameABIGAIL MACKENZIE GREEN

Location Address1401 JEFFERSON HWY FL CENTER1Jefferson, LA 70121-2426

Mailing Address802 Mccormick StShreveport, LA 71104-4818

Phone(504) 842-3260

Fax(504) 842-3193

Sole ProprietorNo

Enumeration DateMarch 28, 2025

NPPES CertifiedMarch 28, 2025

✔ NPI 1396548160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1401 JEFFERSON HWY FL CENTER1, Jefferson, LA 70121

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Mackenzie Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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