Active NPI
Lynda Renee Green, SLT
- Speech-Language Pathologist
- Aiken, SC
National Provider Identifier
1811328149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 201257
- Practice address
- 100 Bears Rock Rd.
Aiken, SC 29801 - Phone
- (803) 641-2690
- NPI assigned
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 201257 | SC | Primary |
Addresses
Primary practice location
100 Bears Rock Rd.
Aiken, SC 29801
Mailing address
100 Bears Rock Rd.
Aiken, SC 29801
Phone (803) 641-2690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201257 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1811328149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BEARS ROCK RD.",
"city": "AIKEN",
"state": "SC",
"postal_code": "29801",
"telephone_number": "803-641-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BEARS ROCK RD.",
"city": "AIKEN",
"state": "SC",
"postal_code": "29801",
"telephone_number": "803-641-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "LYNDA",
"middle_name": "RENEE",
"name_prefix": "Miss",
"credential": "SLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "201257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.