Individual provider Active NPI

Lauren Green

  • Speech-Language Pathologist
  • Salem, WI
National Provider Identifier
1114857265
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
24617 75TH St
Salem, WI 53168-8831
Phone
(262) 843-2321
NPI assigned
May 20, 2026
Last updated
May 20, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X WI Primary

Addresses

Primary practice location

24617 75TH St
Salem, WI 53168-8831

Mailing address

3820 S Beaumont Ave
Kansasville, WI 53139-9529

Other practice location 1

11112 308th Ave
Wilmot, WI 53192-7700
Phone (262) 862-2351

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmot Union High School District Past Accepting new patients
Central High School District of Westosha Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1114857265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 S BEAUMONT AVE",
            "city": "KANSASVILLE",
            "state": "WI",
            "postal_code": "531399529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24617 75TH ST",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531688831",
            "telephone_number": "262-843-2321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11112 308th Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmot",
            "state": "WI",
            "postal_code": "531927700",
            "country_code": "US",
            "telephone_number": "262-862-2351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.