Katrina Taylor- Green, M. ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102097 Issued in TX

Practice address

7240 Cana
Grand Prairie, TX 75054

Phone

(225) 205-1879

NPI assigned

Jun 28, 2013

Last updated

Oct 5, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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.

• Skilled Speech Pathology Services, PLLC

  • Home Health Agency
  • Grand Prairie, TX
  • NPI 1689014110
  NPD (past) Authorized official

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1578903084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1214",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631214",
            "telephone_number": "682-422-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 CANA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75054",
            "telephone_number": "225-205-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR- GREEN",
        "first_name": "KATRINA",
        "credential": "M. ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Steven Tankersley, LCSW
• Tarrant County Hospital District (TCHD Grand Prairie Community Clinic Pharmacy)
• Christy M Tate
• Pedro Z Taussig, M.D.
• Verna Tawfik, DPT, PT
• Elizabeth R. Taylor, D.C.
• Nicole Mae Taylor, LVN
• Randall Wayne Taylor II
• Scott Anthony Taylor, D.D.S.
• Thad Taylor IV, D.D.S.

• Speech-Language Pathologist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.