JESSICA J GREEN (NPI# 1780108670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780108670 |
| Entity Type | Individual |
| Full Name | JESSICA J GREEN |
| Practice Address |
3021 Hickory St Saint Louis MO 63104-1818 |
| Mailing Address |
2913 Buena Vista Ave Alton IL 62002-1911 |
| Practice Telephone | 3143455673 |
| Mailing Telephone | 6185544777 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2017026197 | MO | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5031 Potomac St, Saint Louis, MO 631391316 | ||
| 6020 Pernod Ave, Saint Louis, MO 631391909 | 3143529212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1972976223 | Jessica Green | Dietitian, Registered | 1424 Freshwater Ct, Wake Forest, NC 27587-6262 | 2015-11-09 |
| 1215352901 | Jessica Green | Obstetrics & Gynecology | 2700 Sorority Ln, Holt, MI 48842-8744 | 2014-03-04 |
| 1336487818 | Jessica Marie Green | Massage Therapist | 236 Wayne St, Sandusky, OH 44870-2637 | 2013-01-17 |
| 1073861571 | Jessica Erin Green | Pharmacist | 969 Miles Rd, Lufkin, TX 75901-2119 | 2012-08-15 |
| 1114247590 | Jessica M Green | Counselor | 301 Robb St, Summit, MS 39666-7053 | 2010-06-08 |
| 1669610069 | Jessica Green | Speech-Language Pathologist | 6161 S 33rd West Ave Ste 105, Tulsa, OK 74132-1502 | 2009-01-23 |
| 1417108218 | Jessica P Green | Behavioral Analyst | 1659 E Draper Cir, Mesa, AZ 85203-6628 | 2008-10-10 |
| 1821283078 | Jessica Green | Student in an Organized Health Care Education/Training Program | 5124 Sw View Point Ter, Portland, OR 97239-3908 | 2007-09-11 |
| 1578604773 | Jessica Nell Green | Pediatrics | 8402 Harcourt Rd Ste 105, Indianapolis, IN 46260-2006 | 2007-02-09 |
| Street Address |
3021 HICKORY ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| 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 |
|---|---|---|---|---|
| 1518567494 | Bradley Huesgen | Speech-Language Pathologist | 3500 Oxford Blvd, Saint Louis, MO 63143-4209 | 2020-10-29 |
| 1831706290 | Kaley Horst | Speech-Language Pathologist | 318 Barron Ln, Saint Louis, MO 63119-1520 | 2020-09-29 |
| 1386250553 | Karla Kay Mckeirnan | Speech-Language Pathologist | 2 Nazareth Ln, Saint Louis, MO 63129-7600 | 2020-09-22 |
| 1013522374 | Mia Elmore | Speech-Language Pathologist | 4554 Laclede Ave Apt 308, Saint Louis, MO 63108-2147 | 2020-09-14 |
| 1124644729 | Logan Patricia Abbott | Speech-Language Pathologist | 1630 Ross Ave, Saint Louis, MO 63146-3817 | 2020-06-19 |
| 1922629807 | Catherine Renee Bean | Speech-Language Pathologist | 5554 Waterman Blvd Apt 2e, Saint Louis, MO 63112-1836 | 2020-05-01 |
| 1932749447 | Ian Farmer | Speech-Language Pathologist | 1220 N 10th St, Saint Louis, MO 63106-4636 | 2020-01-13 |
| 1508402249 | Valerie Jeanne Reid | Speech-Language Pathologist | 5247 Bancroft Ave Apt 2e, Saint Louis, MO 63109-2320 | 2019-11-18 |
| 1942851233 | The Speech Station | Speech-Language Pathologist | 140 Prospect Ave Ste P, Saint Louis, MO 63122-6024 | 2019-09-27 |
| 1205480407 | Emily Terbrock | Speech-Language Pathologist | 5329 Columbia Ave, Saint Louis, MO 63139-1443 | 2019-07-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
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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.