Meredith Green, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3741 Issued in NM

Practice address

615 E Lincoln St
Las Vegas, NM 87701-4502

Phone

(505) 426-8095

Fax

(505) 426-8095

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Meredith Lorenz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rainbow Road Therapies, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Las Vegas, NM
  • NPI 1639214059
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487870986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E LINCOLN ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014502",
            "telephone_number": "505-426-8095",
            "fax_number": "505-426-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E LINCOLN ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014502",
            "telephone_number": "505-426-8095",
            "fax_number": "505-426-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MEREDITH",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "LORENZ",
            "credential": "M.S.CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Manuel Gonzalez-Cuervo, M.D.
• David Goulsby, BMS
• Grano de Oro Family Mental Health Services
• Rudy Fidencio Grano, PSYD
• Tara Grano, RN
• Gabriel J Griego, BMS
• Mary Griego, LADAC
• Juliana Guerin, LCSW
• Guiding Feather of Hope
• Carolina Gutierrez

• Speech-Language Pathologist in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.