Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Robert Allen Green, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487328464

Mr. Robert Allen Green, PMHNP-BC is a Nurse Practitioner in Lafayette, Louisiana. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

113 Flagg Pl Bldg B
Lafayette, LA 70508-7025
Phone: (337) 247-7282
Fax: (337) 279-0776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 221575 (LA)

Record details

NPI number1487328464
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 4, 2021
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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