Green Apple Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA9491 Issued in FL

Legal business name

GREEN APPLE THERAPY

Practice address

23005 NW 11TH Rd
Newberry, FL 32669-1911

Phone

(352) 256-5072

NPI assigned

Jan 30, 2013

Last updated

Jan 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen R Shepard, CCC/SLP

Title

Owner

Phone

(352) 256-5072

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1235477944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359064",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326359016",
            "telephone_number": "352-256-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23005 NW 11TH RD",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326691911",
            "telephone_number": "352-256-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN APPLE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-256-5072",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001158700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyrsten Giebeig, PT, DPT
• Sally Glaeser, M.D.
• Benjamin Goc
• Ana Helena Goldstein, DMD
• Allison Jean Good, MD
• Erin Green, RMHCI
• Preston T Green, MD
• Janet Greene, ED.S., LMHC
• Guan Physical Therapy and Acupuncture, LLC (Guan Physical Therapy and Acupuncture)
• Weiwei Guan, DPT

• Speech-Language Pathologist in Newberry, FL
• Providers in Newberry, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.