K E Green Speech and Language LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9217 Issued in OH

Legal business name

K E GREEN SPEECH AND LANGUAGE LLC

Practice address

3600 Olentangy River Rd
BLDG D, Ste 107
Columbus, OH 43214-3437

Phone

(614) 974-2211

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Kellie Green, SLPNPI 1912143512

Title

Owner

Phone

(614) 974-2211

Specialties & licenses 1

Addresses

Other names 1

• Green Living & Wellness Doing business as

Tax ID family

Green Living and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K E Green Speech and Language LLC

  • Lactation Consultant (Non-RN)
  • Columbus, OH
  • NPI 1740928316
  NPD tax ID

Locations

Practitioners 1

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

• Kellie Elizabeth Green, M.A., CCC-SLP, IBCLC

  • Lactation Consultant (Non-RN)
  • Columbus, OH
  • NPI 1912143512

  Speech-Language Pathologist

  NPD Authorized official

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1568837375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 OLENTANGY RIVER RD",
            "address_2": "BLDG D, STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143437",
            "telephone_number": "614-974-2211",
            "fax_number": "614-974-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OLENTANGY RIVER RD",
            "address_2": "BLDG D, STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143437",
            "telephone_number": "614-974-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K E GREEN SPEECH AND LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-974-2211",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP9217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Living & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Justus, DO
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• Renolia Bliyou Juty
• Sugamya Juvvigunta
• K E Green Speech and Language LLC
• K Poku Transport LLC
• K. Pete Czaruk, D.D.S., Inc.
• K.I.N.D Care LLC
• K&H Home Healthcare LLC

• Speech-Language Pathologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.