Active NPI
Brooke L Greene, SLP
- Speech-Language Pathologist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8631
- Practice address
- 3013 Idlewood Village Dr
Raleigh, NC 27610-5966 - Phone
- (910) 297-2624
- NPI assigned
- Aug 3, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 8631 | NC | Primary |
Addresses
Primary practice location
3013 Idlewood Village Dr
Raleigh, NC 27610-5966
Mailing address
3013 Idlewood Village Dr
Raleigh, NC 27610-5966
Phone (910) 297-2624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 Dairy Rd
Clayton, NC 27520-4965
Phone (984) 232-7752
200 Kellie Dr
Smithfield, NC 27577-6500
Phone (984) 222-6279
3150 Burke Mill Rd
RM 200
Winston Salem, NC 27103-6431
Phone (336) 397-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8631 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients |
Locations
303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572
2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
NC
-
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1104057520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 IDLEWOOD VILLAGE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276105966",
"telephone_number": "910-297-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 IDLEWOOD VILLAGE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276105966",
"telephone_number": "910-297-2624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "BROOKE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-03",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.