AMANDA GREEN (NPI# 1497294409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497294409 |
| Entity Type | Individual |
| Full Name | AMANDA GREEN |
| Credential | SLP |
| Practice Address |
707 Eldridge Ave E Wynne AR 72396-4032 |
| Practice Telephone | 8702088989 |
| Practice Fax Number | 8702088107 |
| Mailing Telephone | 8702088989 |
| Mailing Fax Number | 8702088107 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP2975 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ASHA | 14033060 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1205381290 | Amanda Green | Marriage & Family Therapist | 1885 S Arlington Ave Ste 201, Reno, NV 89509-3377 | 2016-08-18 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1528478443 | Amanda Green | Psychologist | 207 Briggs Dr, Easley, SC 29642-1803 | 2014-04-30 |
| 1396168084 | Amanda Green | Occupational Therapy Assistant | 10 Notch Rd, Adams, MA 01220-1012 | 2014-01-30 |
| 1740529684 | Amanda Green | Pharmacist | 212 Liberty St # 214, Warren, PA 16365-2347 | 2013-02-13 |
| 1588783344 | Amanda Spivey Green | Dentist | 1463 E Main St, Spartanburg, SC 29307-2246 | 2007-03-29 |
| 1578162624 | Amanda Rose Green | Physician Assistant | 2655 Ridgeway Ave, Rochester, NY 14626-4296 | 2020-10-20 |
| 1477101418 | Amanda Marie Green | Occupational Therapist | 9957 Allisonville Rd, Fishers, IN 46038-2006 | 2019-09-03 |
| 1457905697 | Amanda Marie Green | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-25 |
| Street Address |
707 ELDRIDGE AVE E |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518011782 | Maryangelia Hoffpauir | Occupational Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2007-01-23 |
| 1740729748 | Kassi Talbot | Occupational Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2017-02-23 |
| 1063816049 | Jacob Towell | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2014-10-20 |
| 1881994804 | Raymond Gerrity | Occupational Therapy Assistant | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2010-10-25 |
| 1124259304 | Brina Bailey | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-08-05 |
| 1346481942 | Allison Breck Birdsong | Speech-Language Pathologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-03-12 |
| 1356580252 | Lee O'banion | Specialist/Technologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-02-17 |
| 1780821066 | Guy Biggs | Occupational Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2009-01-08 |
| 1639321300 | Marci Suzanne Langston | Specialist/Technologist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2008-10-14 |
| 1083864649 | Idumange T. Idumange | Physical Therapist | 707 Eldridge Ave E, Wynne, AR 72396-4032 | 2008-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| 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 |
|---|---|---|---|---|
| 1154697928 | Forrest Dayanne Utley | Speech-Language Pathologist | 390 County Road 372, Wynne, AR 72396-8552 | 2012-03-27 |
| 1275823494 | Jamie L Frederick | Speech-Language Pathologist | 111 Merriman Ave E, Wynne, AR 72396-2941 | 2011-04-08 |
| 1164731253 | The Speech Path of Nea, LLC | Speech-Language Pathologist | 615 Canal Ave E, Wynne, AR 72396-3003 | 2010-10-06 |
| 1770730723 | Laura Beth Bassham | Speech-Language Pathologist | 1300 Falls Blvd N, Wynne, AR 72396-1622 | 2008-08-21 |
| 1649441239 | Marian P. Ritchie | Speech-Language Pathologist | 45 County Road 726, Wynne, AR 72396-8025 | 2008-03-21 |
| 1811101082 | Frances Felicia Quinn | Speech-Language Pathologist | 1708 Alesha Dr, Wynne, AR 72396-3733 | 2007-05-09 |
| 1932224615 | Cindy R Easley | Speech-Language Pathologist | 59 County Road 395, Wynne, AR 72396-8145 | 2007-03-20 |
| 1902307135 | Speaking Out Therapy Services Pllc | Speech-Language Pathologist | 613 Church St N, Wynne, AR 72396-2603 | 2018-02-22 |
| 1093149437 | Rachelle Johnson | Speech-Language Pathologist | 613 Church St N, Wynne, AR 72396-2603 | 2013-08-21 |
| 1811233976 | Kayla Marie West | Speech-Language Pathologist | 615 Canal Ave E, Wynne, AR 72396-3003 | 2012-12-18 |
| Find all providers in WYNNE | ||||
Please comment or provide details below to improve the information on AMANDA 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.