Kai Jason Greene, CCC SLP # 12045275

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSHA # 29200 Issued in TX

Practice address

2504 A Whitis, Cma 2.200
2504 A Whitis, Cma 2.200
Austin, TX 78712

Phone

(512) 471-3841

Fax

(512) 232-1804

NPI assigned

Apr 5, 2011

Sex

Male

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

State licenses

Practice roles

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.

• University of Texas at Austin

  • Audiologist
  • Austin, TX
  • NPI 1871522771

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1295024701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1UNIVERSITY STATION A1100, CMS 2.200",
            "address_2": "1UNIVERSITY STATION A1100, CMS 2.200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "512-471-3841",
            "fax_number": "512-232-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 A WHITIS, CMA 2.200",
            "address_2": "2504 A WHITIS, CMA 2.200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "512-471-3841",
            "fax_number": "512-232-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KAI",
        "middle_name": "JASON",
        "credential": "CCC SLP # 12045275",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "TSHA # 29200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenbrook TMS Austin Central LLC
• Tara Greendyk, M.D.
• Andrew Greene, LCSW, LCDC
• Diane Y. Greene, LPC
• Julia Greene, M.ED, BCBA, LBA
• Seth Amos Greene
• Shannon M. Greene, PH.D., LMFT
• Vicki S. Greene, RN, FNP-C
• Laura Lynn Greenlee, PHD, NCC, LPCS
• Emily Strassner Greenspahn, PH.D.

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.