Gina Brown Greene, MSP, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2753 Issued in SC

Practice address

46 Lampton Rd
Charleston, SC 29407-6962

Phone

(843) 343-6712

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1164622437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 LAMPTON RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076962",
            "telephone_number": "843-343-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 LAMPTON RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076962",
            "telephone_number": "843-343-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "GINA",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "MSP, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0234",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Netta Greenblatt
• Greene Physical Therapy LLC
• Amber Greene
• Berkley Petersen Greene, AUD
• Dolores S Greene, LISW
• Misty F Greene
• Samantha Greene
• Stephanie A. Greene, RN
• Stephanie Michelle Greene
• Judith Greenfarb, LMSW RYT

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.