Elsie Shea Greene, M.ED, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000423 Issued in VA

Practice address

3600 Saunders Ave
Richmond, VA 23227-4328

Phone

(804) 358-1874

NPI assigned

Dec 24, 2019

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

Other names 1

• Elsie Shea McCuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1619516598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FARRAND ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232313406",
            "telephone_number": "757-604-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SAUNDERS AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274328",
            "telephone_number": "804-358-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ELSIE",
        "middle_name": "SHEA",
        "credential": "M.ED, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELSIE",
            "last_name": "MCCULLER",
            "middle_name": "SHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wanda Green
• Yoshiko Green, LPC
• Emma Greenberg
• Bria Mornique Greene, DDS
• Chantel Victoria Greene, M.A.
• Jaclyn M. Greene, MA, LMHP-E
• Jonathan Ryan Greene, MD
• Kimberly Raye Greene, LPC
• Rebekah Greene
• Ryan Greene, LMT

• Speech-Language Pathologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.