Kristin Green

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KRISTIN GREEN

Practice address

417 Enclave Cir
Ste. 305
Costa Mesa, CA 92626-8180

Phone

(949) 370-5677

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Kristin GreenNPI 1568836450

Title

Owner/Director

Phone

(949) 370-5677

Specialties & licenses 1

Addresses

Other names 2

• CA Speech Therapy Doing business as
• California Speech Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Green

  • Speech-Language Pathologist
  • Costa Mesa, CA
  • NPI 1568836450
  NPD (past) Authorized official

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1386157501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ENCLAVE CIR",
            "address_2": "STE. 305",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ENCLAVE CIR",
            "address_2": "STE. 305",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268180",
            "telephone_number": "949-370-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN GREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "949-370-5677"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CA Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clint N Kreider, LMFT
• Kenneth A Kreindel
• Tori Rachel Kretschmer, NURSE PRACTITIONER
• Meera Krishna Kumar, MS
• Sowmya Krishnan, NP
• Kristin Pelinka, M.D., Inc.
• Kristine Lomas Nursing Inc
• Antonela Kroqi
• Michael L Krychman, MD
• Krystal Nguyen D.M.D., Inc.

• Speech-Language Pathologist in Costa Mesa, CA
• Providers in Costa Mesa, 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 Jun 16, 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.