Tara Green, M.S. CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9266 Issued in NC

Practice address

1140 Savannah Ridge Rd, Suite 111
Holly Springs, NC 27540-0535

Phone

(919) 285-2157

Fax

(919) 285-2157

NPI assigned

Oct 5, 2015

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Benefit Therapy Services, PLLC

  • Speech-Language Pathologist
  • Holly Springs, NC
  • NPI 1275994113
  Medicare reassignment

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1346610110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SAVANNAH RIDGE RD, SUITE 111",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275400535",
            "telephone_number": "919-285-2157",
            "fax_number": "919-285-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SAVANNAH RIDGE RD, SUITE 111",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275400535",
            "telephone_number": "919-285-2157",
            "fax_number": "919-285-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 W CENTER ST",
            "address_purpose": "LOCATION",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405900",
            "country_code": "US",
            "telephone_number": "919-285-2157",
            "fax_number": "919-285-2157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TARA",
        "credential": "M.S. CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Gouveia-Pisano, BSPHARM,PHARMD, BCPS
• Kristen S Grainger, PT
• Janet L Grant, CCC-SLP
• Juli Dixon Graves, CCC-SLP
• Stephanie Ann Gray, CNM
• James Harrison Grunwald, D.O.
• Joyce Portal Guanga, D.D.S.
• Tiffany Guy, LMFT
• Shiann Hagan
• Elaine Hagwood, RN

• Speech-Language Pathologist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.