Aileen Green, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

1500 S Monte Tesoro Dr
Cottonwood, AZ 86326-6232

Phone

(928) 634-7039

NPI assigned

Oct 29, 2020

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1386244234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 S 12TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264520",
            "telephone_number": "928-300-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MONTE TESORO DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266232",
            "telephone_number": "928-634-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AILEEN",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noe Israel Gonzalez
• Goodwill Industries -Cottonwood
• Amy L Gottschalk, M.D.
• Donald D Graber, M.D.
• Grace E. Jackson, MD, PLLC
• Kathy J. Green, M.D., M.P.H.
• Robert W Gresens, DO
• Gary Douglas Gridley, M.D.
• Gwen Griffin, LISAC
• Howard Reginald Griffin III, DC

• Speech-Language Assistant in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.