KELLY KAY GREEN (NPI# 1780017145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780017145 |
| Entity Type | Individual |
| Full Name | KELLY KAY GREEN |
| Credential | AUD |
| Practice Address |
937 Park Ave Meadville PA 16335-3334 |
| Practice Telephone | 8147246211 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AT006307 | PA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533728 | Kelly M Green | Dietitian, Registered | 12201 Stanfield Ct, Bowie, MD 20720-4439 | 2020-06-18 |
| 1093295263 | Kelly Green | Psychologist | 3535 Market St Ste 3037, Philadelphia, PA 19104-3313 | 2018-08-17 |
| 1558802975 | Kelly Green | Counselor | 15336 Devonshire St Unit 6, Mission Hills, CA 91345-2755 | 2017-03-18 |
| 1255887386 | Kelly Green | Physician Assistant | 1237 Shirehall Park Ln, Wake Forest, NC 27587-0601 | 2016-08-29 |
| 1730589565 | Kelly Green | Physical Therapist | 3014 Boaires Ln, Louisville, KY 40220-2428 | 2014-08-29 |
| 1467685107 | Kelly Elizabeth Green | Psychologist | 5524 Bee Caves Road, Suite G-2, Austin, TX 78746 | 2009-08-28 |
| 1437249547 | Kelly Ray Green | Pediatrics | 19087b Greeno Rd, Fairhope, AL 36532-3899 | 2006-10-13 |
| 1801803572 | Kelly Elaine Green | Social Worker | 1604 S W S Young Dr, Killeen, TX 76543-5003 | 2006-08-02 |
| 1649230947 | Kelly Patrick Green | Optometrist | 7437 Burnet Rd, Austin, TX 78757-2244 | 2006-03-23 |
| 1346804721 | Kelly R Green | Case Manager/Care Coordinator | 2540 Billingsley Rd, Columbus, OH 43235-1990 | 2019-05-01 |
| Street Address |
937 PARK AVE |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750333084 | Robert William Petruso II | Audiologist | 937 Park Ave, Meadville, PA 16335-3334 | 2006-05-16 |
| 1174878011 | Travis Elijah Petruso | Hearing Instrument Specialist | 937 Park Ave, Meadville, PA 16335-3334 | 2012-07-17 |
| 1164659090 | Patricia Ann Bush | Hearing Instrument Specialist | 937 Park Ave, Meadville, PA 16335-3334 | 2009-06-18 |
| 1699891127 | Arlene Marie Petruso | Hearing Instrument Specialist | 937 Park Ave, Meadville, PA 16335-3334 | 2007-03-22 |
| 1619010733 | R. W. Petruso Hearing and Audiology Center, Inc | Hearing Aid Equipment | 937 Park Ave, Meadville, PA 16335-3334 | 2007-02-15 |
| 1447303185 | Robert William Petruso | Technician/Technologist | 937 Park Ave, Meadville, PA 16335-3334 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982106910 | Barbara Ann Wetzel | Audiologist | 505 Poplar St Ste 108, Meadville, PA 16335-3081 | 2018-03-06 |
| 1750333084 | Robert William Petruso II | Audiologist | 937 Park Ave, Meadville, PA 16335-3334 | 2006-05-16 |
| 1487603650 | Sarah L. Scales | Audiologist | 937 Park Avenue, Meadville, PA 16335-3334 | 2006-05-08 |
| 1447752431 | Melanie Shaffer | Audiologist | 505 Poplar St, Meadville, PA 16335-3057 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100461 | Cecilia Mercedes Lacey | Audiologist | 5823 Glen Hill Dr, Bethel Park, PA 15102-2431 | 2020-09-28 |
| 1982216958 | Rachel Catherine Smith Labarge | Audiologist | 209 Bamboo Dr, Lansdale, PA 19446-3863 | 2020-08-20 |
| 1477170918 | Jordan Hannold | Audiologist | 425 N 21st St Ste 301, Camp Hill, PA 17011-2223 | 2020-07-01 |
| 1083231047 | Madison Eskew | Audiologist | 4400 Old William Penn Hwy Ste 208, Monroeville, PA 15146-1480 | 2020-06-25 |
| 1497379234 | Brooke Ann Jamgochian | Audiologist | 230 Sugartown Rd Ste 10, Wayne, PA 19087-3071 | 2020-06-07 |
| 1164045001 | Rebecca Penaranda | Audiologist | 1245 Highland Ave Ste 502, Abington, PA 19001-3726 | 2020-05-27 |
| 1164054219 | Phyllis Lee Cohen | Audiologist | 1098 W Baltimore Pike Ste 3406, Media, PA 19063-5139 | 2020-02-06 |
| 1972143873 | Dgn Ventures | Audiologist | 166 S Main St Ste 3, Chambersburg, PA 17201-2500 | 2020-01-09 |
| 1043856727 | Linh Thi Nguyen | Audiologist | 3501 W Chester Pike Ste 101, Newtown Square, PA 19073-3707 | 2019-11-18 |
| 1447894431 | Stinson Audiology Services LLC | Audiologist | 1809 29th St Sw, Allentown, PA 18103-6403 | 2019-11-01 |
| Find all providers with the same taxonomy | ||||
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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.