Nicole Green

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14226749-4104 Issued in UT

Practice address

11631 S 700 E
Draper, UT 84020-8288

Phone

(801) 712-8907

NPI assigned

Nov 22, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in UT

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Therapy Partners LLC

  • Rehabilitation Clinic/Center
  • Draper, UT
  • NPI 1073316709
  Medicare reassignment NPD
• Breaking Barriers Therapy Services LLC

  • Speech-Language Pathologist
  • Saratoga Springs, UT
  • NPI 1891201794

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1699484238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 S BERG HOLLOW LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 S 700 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208288",
            "telephone_number": "801-712-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "14226749-4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortnie Gray
• Emily Gray
• Jessica Gray
• Coralia Green
• Michael Lawrence Green, DDS
• William Tim Green
• Nicole Marie Greene, APRN
• Patricia Ann Greene, M.A.
• Stephanie Greer
• Bryan Joseph Gregston Sr.

• Speech-Language Pathologist in Draper, UT
• Providers in Draper, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.