SUSAN GREEN (NPI# 1215111224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215111224 |
| Entity Type | Individual |
| Full Name | SUSAN GREEN |
| Credential | SLP |
| Practice Address |
4600 Beach Blvd Jacksonville FL 32207-7700 |
| Practice Telephone | 9043465100 |
| Practice Fax Number | 9043465111 |
| Mailing Telephone | 9043465100 |
| Mailing Fax Number | 9043465111 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA 9310 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE NUMBER | SA 9310 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134407091 | Susan Joy Green | Occupational Therapy Assistant | 22714 County Road 26, Arlington, NE 68002-5042 | 2011-07-26 |
| 1902128705 | Susan K Green | Pharmacist | 911 Rainbow Drive, Gadsden City Pharmacy, Gadsden, AL 35901-1513 | 2010-02-19 |
| 1902024227 | Susan Jean Green | Student in an Organized Health Care Education/Training Program | 10 1st Ave E, Glen Burnie, MD 21061-2073 | 2007-04-23 |
| 1447324033 | Susan Blake Green | Counselor | 2500 Lincoln Dr, Abilene, TX 79601-2023 | 2006-11-17 |
| 1689697385 | Susan K Green | Chiropractor | 2001 N Rand Road, Palatine, IL 60074-2573 | 2006-07-25 |
| 1063045128 | Susan Green | Physical Therapist | 5615 Deauville Ste 120, Midland, TX 79706-2708 | 2020-02-18 |
| 1063062883 | Susan M Green | Registered Nurse | 155 Densmore Rd, Rochester, NY 14609-1850 | 2019-09-13 |
| 1215447883 | Susan Michele Green | Physical Therapist | 1825 Fortview Rd Ste 109, Austin, TX 78704-7655 | 2017-10-09 |
| 1790190759 | Susan Green | Speech-Language Pathologist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-06-27 |
| 1376888453 | Susan Hopkins Green | Physical Therapist | 1919 112th St Sw, Everett, WA 98204-3784 | 2012-11-30 |
| Street Address |
4600 BEACH BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295769602 | Hope Haven Children's Clinic and Family Center | Psychologist | 4600 Beach Blvd, Jacksonville, FL 32207-7700 | 2006-07-10 |
| 1629550280 | Deanna Zastrow | Psychologist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2018-08-30 |
| 1659891695 | Patrick O'brien | Counselor | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2017-06-21 |
| 1619357647 | Kathleen Ross | Physical Therapist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2015-06-04 |
| 1407190424 | Katherine Lynch | Occupational Therapist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2012-11-15 |
| 1699039768 | Jennifer Mae Handler | Occupational Therapist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2012-07-03 |
| 1821326315 | Valerie Gray Allison | Occupational Therapist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2009-11-23 |
| 1376766840 | Lindsey Oline Haugan | Occupational Therapist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2007-04-11 |
| 1629108006 | Hope Haven Children's Clinic & Family Center | Day Training, Developmentally Disabled Services | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2007-03-06 |
| 1851440333 | Joseph Pesek IIi | Pediatrics | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848514 | Danielle Huckaba | Speech-Language Pathologist | 12023 Wren Hollow Ct, Jacksonville, FL 32246-7787 | 2020-07-22 |
| 1699392209 | Paige E Searcy | Speech-Language Pathologist | 907 Greenridge Rd, Jacksonville, FL 32207-5251 | 2020-06-30 |
| 1568086619 | Carmen Schneider | Speech-Language Pathologist | 7701 Timberlin Park Blvd Apt 831, Jacksonville, FL 32256-5447 | 2020-06-04 |
| 1730702713 | Jennifer Horn Debardeleben | Speech-Language Pathologist | 2101 W Palm Ave, Jacksonville, FL 32254-1734 | 2020-05-25 |
| 1508485509 | Growing Voices Therapies, LLC | Speech-Language Pathologist | 12964 Julington Ridge Dr E, Jacksonville, FL 32258-3412 | 2020-04-10 |
| 1215561352 | Lori Connon | Speech-Language Pathologist | 2334 Covington Creek Cir W, Jacksonville, FL 32224-1177 | 2020-02-27 |
| 1922631779 | Homegrown Communication-slp, LLC | Speech-Language Pathologist | 5163 Shirley Ave, Jacksonville, FL 32210-3145 | 2020-02-20 |
| 1194357517 | Lauren Lynne Blunk | Speech-Language Pathologist | 1010 N Davis St, Jacksonville, FL 32209-6824 | 2020-02-05 |
| 1669018255 | Ying Dong | Speech-Language Pathologist | 7262 Deerfoot Point Cir Unit 3, Jacksonville, FL 32256-8623 | 2019-11-19 |
| 1710543764 | Lesley Nicole Summers | Speech-Language Pathologist | 6817 Southpoint Pkwy Ste 1701, Jacksonville, FL 32216-6298 | 2019-05-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on SUSAN GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.