Charna Tamar Greenwell, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22003395A Issued in IN

Practice address

715 Clinic Dr
West Lafayette, IN 47907-2122

Phone

(765) 494-3795

NPI assigned

May 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1114584372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CLINIC DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072122",
            "telephone_number": "765-494-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CLINIC DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072122",
            "telephone_number": "765-494-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "CHARNA",
        "middle_name": "TAMAR",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003395A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greenwel@purdue.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Hardcopy information",
            "address_1": "715 Clinic Dr",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479072122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Daniel Gray
• Oneta Gray
• Stephanie Gray, BS, FST, HAB, CSAYP
• Greater Lafayette Health Services
• Gabriele Jynell Green
• Audrey Michelle Gregory
• Karlee Jean Greives
• Kyra Grider
• Olivia Grace Grinnell
• Anne Marie Gritt, M.S., CCC-SLP

• Speech-Language Pathologist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.