STEPHANIE RAE GREEN (NPI# 1447766290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447766290 |
| Entity Type | Individual |
| Full Name | STEPHANIE RAE GREEN |
| Practice Address |
401 N 30th St Mount Vernon IL 62864-2355 |
| Mailing Address |
14785 N Pump House Ln Mount Vernon IL 62864-8750 |
| Practice Telephone | 6182448068 |
| Practice Fax Number | 6182448075 |
| Mailing Telephone | 6182448068 |
| Mailing Fax Number | 6182448075 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146003822 | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 363028 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558983700 | Stephanie Lynn Green | Registered Nurse | 183 Marca Dr, Lucasville, OH 45648-9007 | 2020-05-11 |
| 1366895328 | Stephanie Green | Counselor | 554 N Main St Ste 104, South Boston, VA 24592-3283 | 2016-07-14 |
| 1275937443 | Stephanie Green | Speech-Language Pathologist | 525 Hawthorn Cir, Frederick, CO 80530-6009 | 2014-10-17 |
| 1205188224 | Stephanie Renee Green | Foster Care Agency | 1246 Sumner St, Jacksonville, NC 28540-3473 | 2012-10-15 |
| 1629334768 | Stephanie E Green | Licensed Practical Nurse | 175 Fernwood Ave, Syracuse, NY 13205-1438 | 2012-04-03 |
| 1730415928 | Stephanie Green | Internal Medicine | 54 Meadow St Fl 1, New Haven, CT 06519-1719 | 2009-10-23 |
| 1669665824 | Stephanie Anne Green | Pediatrics | 488 Vanderbilt Pkwy, Dix Hills, NY 11746-5853 | 2007-08-21 |
| 1770666505 | Stephanie D. Green | Speech-Language Pathologist | 7706 Abbotsinch Ct, Charlotte, NC 28269-0779 | 2006-10-23 |
| 1942383310 | Stephanie Karahalis Green | Internal Medicine | 45 Gerald Rd, Marblehead, MA 01945-2069 | 2006-10-21 |
| 1871109017 | Stephanie Green | Nurse Practitioner | 14089 Abercorn St, Savannah, GA 31419-1966 | 2020-09-22 |
| Street Address |
401 N 30TH ST |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629969 | Katherine Leone Hall | Speech-Language Pathologist | 400 53rd St, Mount Vernon, WA 98273-7800 | 2020-11-06 |
| 1477169142 | Bailey Stainbrook | Speech-Language Pathologist | 900 W Vine St, Mount Vernon, OH 43050-3152 | 2020-09-18 |
| 1790391779 | Kathleen Anderson | Speech-Language Pathologist | 832 Mccauley Rd, Mount Vernon, IL 62864-5766 | 2020-09-16 |
| 1629683511 | Ali Long | Speech-Language Pathologist | 301 E Blaze Rd, Mount Vernon, MO 65712-1805 | 2020-09-09 |
| 1407339302 | Brooke Elizabeth Kujawa | Speech-Language Pathologist | 12116 E Idlewood Dr, Mount Vernon, IL 62864-8416 | 2018-09-07 |
| 1427537505 | Kathleen Boylan | Speech-Language Pathologist | 16 E Birch St, Mount Vernon, NY 10552-1802 | 2018-08-09 |
| 1760997795 | Rachel Nicole Holloway | Speech-Language Pathologist | 623 S 34th St, Mount Vernon, IL 62864-6203 | 2017-12-13 |
| 1043723893 | Andrea Lynn Adams | Speech-Language Pathologist | 15691 E Country Meadows Rd, Mount Vernon, IL 62864-8533 | 2017-11-14 |
| 1326566746 | Julie Marie Upchurch | Speech-Language Pathologist | 4701 Richview Rd, Mount Vernon, IL 62864-9605 | 2017-09-06 |
| 1740648088 | Adriana Marie Figueroa | Speech-Language Pathologist | 72 Southfield Rd, Mount Vernon, NY 10552-1322 | 2016-02-01 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.