Active NPI
Kathryn A Greene, M.A. CCC-SLP
- Speech-Language Pathologist
- Holland, MI
National Provider Identifier
1073842985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12098657
- Practice address
- 171 Timberwood LN
Holland, MI 49423-6627 - Phone
- (616) 396-4480
- NPI assigned
- Dec 24, 2009
- Last updated
- Jan 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12098657 | MI | Primary |
Addresses
Primary practice location
171 Timberwood LN
Holland, MI 49423-6627
Mailing address
171 Timberwood LN
Holland, MI 49423-6627
Phone (616) 396-4480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12098657 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1073842985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 TIMBERWOOD LN",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494236627",
"telephone_number": "616-396-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 TIMBERWOOD LN",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494236627",
"telephone_number": "616-396-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "KATHRYN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-24",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "12098657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.