Ellen Patricia Green, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

RPE 8153 Issued in CA

Practice address

1800 Westwind Dr
Building 500
Bakersfield, CA 93301-3055

Phone

(661) 377-1700

Fax

(661) 616-9199

NPI assigned

Aug 27, 2013

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)

Enrolled

State licenses

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1336573229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 ESPRESSO DR",
            "address_2": "100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933125687",
            "telephone_number": "661-377-1700",
            "fax_number": "661-616-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTWIND DR",
            "address_2": "BUILDING 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013055",
            "telephone_number": "661-377-1700",
            "fax_number": "661-616-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ELLEN",
        "middle_name": "PATRICIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE 8153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater la Neurosurgery and Pain Management
• Justin Greemore
• Ashley Michele Green
• Dale Green, P.T.
• Deanna Green
• Michael Everett Green
• Ryan Tyson Green, D.C.
• Tina Linette Green, MS, LMFT
• Greene Enterprises, Inc.
• Amy Marie Greene, RN

• Speech-Language Pathologist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.