Autumn Sharee Greene, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009354 Issued in PA

Practice address

507 Rittenhouse SQ
Mechanicsburg, PA 17050-1850

Phone

(717) 364-8735

NPI assigned

Sep 4, 2008

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1679721542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 RITTENHOUSE SQ",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501850",
            "telephone_number": "717-364-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 RITTENHOUSE SQ",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501850",
            "telephone_number": "717-364-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "AUTUMN",
        "middle_name": "SHAREE",
        "name_prefix": "Ms.",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "12147245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF SPEECH-LANGUAGE AND HEARING EXAMINERS",
            "identifier": "SL009354",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtlin Chase Green
• Jacquelyn Michelle Green, PT
• John Charles Green, D.O.
• Kathleen Green
• Valerie Taylor Green, COTA
• Megan M Greevy, RD, LDN
• Jordan Greiner, DPT
• Vernne W Greiner, DO
• Melanie Anne Eleanor Grem, L.S.W.
• Ariana Lyn Grim, BCBA,LBS

• Speech-Language Pathologist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.