Active NPI
Morgan Greene, MS, CCC-SLP
- Speech-Language Pathologist
- Hendersonville, TN
National Provider Identifier
1497366157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7269
- Practice address
- 20 Executive Park Dr
Hendersonville, TN 37075-3450 - Phone
- (615) 994-8430
- NPI assigned
- Aug 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7269 | TN | Primary |
Addresses
Primary practice location
20 Executive Park Dr
Hendersonville, TN 37075-3450
Mailing address
PO Box 1637
Springfield, TN 37172-1637
Phone (615) 382-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7269 | Other | TN | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | shinepediatrictherapy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7269 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Pediatric Therapy Center PLLC | Past | Accepting new patients | |
| Shine Pediatric Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Springfield, TN
- NPI 1891041133
-
- Specialist
- Springfield, TN
- NPI 1639303142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1497366157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1637",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371721637",
"telephone_number": "615-382-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 EXECUTIVE PARK DR",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370753450",
"telephone_number": "615-994-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "MORGAN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "7269",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "7269",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "shinepediatrictherapy.com",
"affiliation": "N",
"address_1": "20 Executive Park Dr",
"city": "Hendersonville",
"state": "TN",
"country_code": "US",
"postal_code": "370753450",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.