Individual provider Active NPI

Lori Harris-Greene, MS, CCC-SLP

  • Speech-Language Pathologist
  • Paducah, KY
National Provider Identifier
1205234655
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
164595 Issued in KY
Practice address
4645 Village Square Dr Ste a
Paducah, KY 42001-7448
Phone
(703) 912-3962
Fax
(270) 391-2398
NPI assigned
Dec 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 164595 KY Primary

Addresses

Primary practice location

4645 Village Square Dr Ste a
Paducah, KY 42001-7448

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Other practice location 1

215 Dunbar Cave Rd
Suite A
Clarksville, TN 37043-8849
Phone (931) 542-2739

Other names 1

  • Lori G Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117001275 KY Practitioner - Qualified Speech Language Pathologist 5496011835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.62 of 100Reported as group
Quality
74.07
Promoting interoperability
92
Improvement activities
40
Cost
71.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164595KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy LLC CurrentSince Sep 14, 2017 Accepting new patients
More Than Words Speech and Feeding Therapy, LLC Speech-Language Pathologist PastSince Oct 8, 2023 Accepting new patients

Locations

244 US Highway 68 E
Benton, KY 42025
Phone (270) 443-0681

100 Kiana Ct
Apt A
Paducah, KY 42001
Phone (270) 408-2123

5050 Village Square Dr
Ste B
Paducah, KY 42001
Phone (270) 443-0681

4645 Village Square Dr
Ste A
Paducah, KY 42001
Phone (270) 443-5712

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.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1205234655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 VILLAGE SQUARE DR STE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017448",
            "telephone_number": "703-912-3962",
            "fax_number": "270-391-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Dunbar Cave Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438849",
            "country_code": "US",
            "telephone_number": "931-542-2739",
            "fax_number": "931-233-9970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS-GREENE",
        "first_name": "LORI",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "164595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "HARRIS",
            "middle_name": "G",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.

Verify at the official NPI Registry.