MR. KELLY ROBERT GREEN (NPI# 1942468244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942468244 |
| Entity Type | Individual |
| Full Name | MR. KELLY ROBERT GREEN |
| Credential | M.S. |
| Practice Address |
3211 N 4th St Ste B Longview TX 75605-5145 |
| Mailing Address |
400 S Henderson St Fort Worth TX 76104-1017 |
| Practice Telephone | 9037588346 |
| Practice Fax Number | 9037577876 |
| Mailing Telephone | 8173352583 |
| Mailing Fax Number | 8173352597 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 50324 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533728 | Kelly M Green | Dietitian, Registered | 12201 Stanfield Ct, Bowie, MD 20720-4439 | 2020-06-18 |
| 1093295263 | Kelly Green | Psychologist | 3535 Market St Ste 3037, Philadelphia, PA 19104-3313 | 2018-08-17 |
| 1558802975 | Kelly Green | Counselor | 15336 Devonshire St Unit 6, Mission Hills, CA 91345-2755 | 2017-03-18 |
| 1255887386 | Kelly Green | Physician Assistant | 1237 Shirehall Park Ln, Wake Forest, NC 27587-0601 | 2016-08-29 |
| 1730589565 | Kelly Green | Physical Therapist | 3014 Boaires Ln, Louisville, KY 40220-2428 | 2014-08-29 |
| 1467685107 | Kelly Elizabeth Green | Psychologist | 5524 Bee Caves Road, Suite G-2, Austin, TX 78746 | 2009-08-28 |
| 1437249547 | Kelly Ray Green | Pediatrics | 19087b Greeno Rd, Fairhope, AL 36532-3899 | 2006-10-13 |
| 1801803572 | Kelly Elaine Green | Social Worker | 1604 S W S Young Dr, Killeen, TX 76543-5003 | 2006-08-02 |
| 1649230947 | Kelly Patrick Green | Optometrist | 7437 Burnet Rd, Austin, TX 78757-2244 | 2006-03-23 |
| 1346804721 | Kelly R Green | Case Manager/Care Coordinator | 2540 Billingsley Rd, Columbus, OH 43235-1990 | 2019-05-01 |
| Street Address |
3211 N 4TH ST STE B |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164499661 | Linda C Boggs | Nurse Practitioner | 3211 N 4th St, Suite A, Longview, TX 75605-5145 | 2006-03-02 |
| 1992117295 | Connect Hearing, Inc. | Audiologist | 3211 N 4th St, Ste B, Longview, TX 75605-5145 | 2014-05-21 |
| 1851676134 | Jennifer Lee Angelo | Nurse Practitioner | 3211 N 4th St, Suite A, Longview, TX 75605-5145 | 2011-10-18 |
| 1518138601 | Sean Lowery | Audiologist | 3211 N 4th St, Suite B, Longview, TX 75605-5145 | 2008-03-17 |
| 1093985046 | Jack Jones Hearing Center, Inc | Audiologist | 3211 N 4th St, Suite B, Longview, TX 75605-5145 | 2008-03-06 |
| 1548463193 | Jack Jones Hearing Centers, Inc | Audiologist | 3211 N 4th St, Suite B, Longview, TX 75605-5145 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649394420 | Susan B Jones | Audiologist | 709 Hollybrook Dr Ste 5605, Longview, TX 75605-2416 | 2007-03-19 |
| 1972653020 | Charles W Beatty Jr. | Audiologist | 1101 Pegues Pl, Longview, TX 75601-4031 | 2007-01-11 |
| 1093743858 | Kenneth Martin Jr. | Audiologist | 710 N High St, Longview, TX 75601-5330 | 2006-06-29 |
| 1912947722 | Susan K Healea | Audiologist | 820 11th Ave, Longview, WA 98632-2402 | 2006-06-08 |
| 1467405118 | Sheri Loveland | Audiologist | 843 12th Ave, Ste A, Longview, WA 98632-2457 | 2006-05-17 |
| 1134612823 | Katie Elaine White | Audiologist | 1801 1st Ave Ste 3a, Longview, WA 98632-3271 | 2018-06-07 |
| 1114376910 | Amy Schultz | Audiologist | 925 W Loop 281, Longview, TX 75604-2918 | 2016-06-13 |
| 1992117295 | Connect Hearing, Inc. | Audiologist | 3211 N 4th St, Ste B, Longview, TX 75605-5145 | 2014-05-21 |
| 1891095717 | Kristy Loftin-moening | Audiologist | 709 Hollybrook Dr, Suite 5601, Longview, TX 75605-2411 | 2010-10-26 |
| 1174850788 | Richard Paul Delk | Audiologist | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2009-11-03 |
| Find all providers in LONGVIEW | ||||
Please comment or provide details below to improve the information on MR. KELLY ROBERT 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.