Angela Greene

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0005499 Issued in CO

Practice address

2850 Columbine Rd
Denver, CO 80221-7600

Phone

(303) 433-0282

NPI assigned

Oct 17, 2017

Last updated

Sep 15, 2023By 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 2

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1710498860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 TUCKER DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 COLUMBINE RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802217600",
            "telephone_number": "303-433-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 Tucker Dr",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "KY",
            "postal_code": "410569111",
            "country_code": "US",
            "telephone_number": "855-584-5845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Waveland Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403911231",
            "country_code": "US",
            "telephone_number": "855-584-5845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "142109",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0005499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "0005499",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "142109",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Esther Greenawalt
• Laura Rachel Greenbaum, NP
• Kenneth S Greenberg, D.O.
• Lindsay Greenberg
• Roger L. Greenberg, M.D.
• Benjamin Jacob Greene, LPCC
• Chrysanthemum Greene
• Hannah Marie Greene, PA-C
• Lisa C Greene, OTR/L
• Lisa Iris Greene, MD

• Speech-Language Pathologist in Denver, CO
• Providers in Denver, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.