Sara Jean Green, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

750 E Gorman St
Nashville, IL 62263-2007

Phone

(618) 327-3055

NPI assigned

Aug 24, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275050809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E POPLAR ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E GORMAN ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622632007",
            "telephone_number": "618-327-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N Third St",
            "address_purpose": "LOCATION",
            "city": "Ashley",
            "state": "IL",
            "postal_code": "628081259",
            "country_code": "US",
            "telephone_number": "618-485-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SARA",
        "middle_name": "JEAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friendship Manor Group, LLC
• Friendship Manor Investors LLC
• Michael Eugene Gewe, O.D.
• Sandra Deann Gill, PTA
• Jason John Gladson, D.M.D.
• Lisa Renee Hamil
• Michael J Hanson, RPT
• Erin Harris
• Chelsie Hopkins
• Abigail Elisabeth Ingenrieth

• Speech-Language Pathologist in Nashville, IL
• Providers in Nashville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.