KRYSTAL NICOLE GREEN (NPI# 1992283634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992283634 |
| Entity Type | Individual |
| Full Name | KRYSTAL NICOLE GREEN |
| Credential | SLPA |
| Practice Address |
549 Nw Lake Whitney Pl Ste 104 Port Saint Lucie FL 34986-1606 |
| Mailing Address |
1821 Sw Lewis St Port Saint Lucie FL 34987-2079 |
| Practice Telephone | 7723011207 |
| Mailing Telephone | 7729711439 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
3394 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205283959 | Krystal Green | Registered Nurse | 19421 Maple Heights Blvd, Maple Heights, OH 44137-2312 | 2016-05-23 |
| 1114421575 | Krystal Alexandria Green | Student in an Organized Health Care Education/Training Program | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2018-03-21 |
| 1336480060 | Krystal L Green | Behavioral Analyst | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2013-03-05 |
| Street Address |
549 NW LAKE WHITNEY PL STE 104 |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34986-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183261 | Dena Manderichio | Occupational Therapist | 549 Nw Lake Whitney Pl Ste 104, Port Saint Lucie, FL 34986-1606 | 2019-09-12 |
| 1629639463 | Regina Elizabeth Kalinowski | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port Saint Lucie, FL 34986-1606 | 2019-06-24 |
| 1265900856 | Elizabeth Mcdonald | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port Saint Lucie, FL 34986-1606 | 2018-11-13 |
| 1093293482 | Antonia Becker | Specialist/Technologist | 549 Nw Lake Whitney Pl Ste 104, Port Saint Lucie, FL 34986-1606 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| 1205249802 | Kacia Mcculloch | Social Worker | 525 Nw Lake Whitney Place Suites #102 & #103, Sequel Care of Florida, Port St Lucie, FL 34986 | 2014-06-11 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972081396 | Andrea C Sanchez | Specialist/Technologist | 549 Nw Lake Whitney Pl Ste 105, Port Saint Lucie, FL 34986-1606 | 2018-07-30 |
| 1093293482 | Antonia Becker | Specialist/Technologist | 549 Nw Lake Whitney Pl Ste 104, Port Saint Lucie, FL 34986-1606 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617461 | Gabriela Crespi | Specialist/Technologist | 13865 Sw 80th St, Miami, FL 33183-3025 | 2020-10-17 |
| 1891393898 | Kayli Alexei Chung | Specialist/Technologist | 17010 Sw 139th Pl, Miami, FL 33177-2720 | 2020-10-12 |
| 1831796507 | Maggie Christine Miller | Specialist/Technologist | 3670 Nw 83rd Ln, Sunrise, FL 33351-1132 | 2020-10-06 |
| 1790392355 | Ashley Elyse Stept | Specialist/Technologist | 12001 Nw 50th Dr, Coral Springs, FL 33076-3522 | 2020-09-28 |
| 1851908438 | Maria Medinilla | Specialist/Technologist | 4064 Sw 95th Ave, Miami, FL 33165-5240 | 2020-09-28 |
| 1891301271 | Carlos Rene Alicea Jr. | Specialist/Technologist | 13574 Village Park Dr Ste Suite205, Orlando, FL 32837-7689 | 2020-09-21 |
| 1962018739 | Briana Luckie Savastano | Specialist/Technologist | 111 E Lake Mary Blvd Ste 113, Sanford, FL 32773-7111 | 2020-09-17 |
| 1700490851 | Katiria Mary Santana Suarez | Specialist/Technologist | 299 Longley Dr Unit B, Port Charlotte, FL 33954-1142 | 2020-09-05 |
| 1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
| 1184237729 | Jorja Ruby | Specialist/Technologist | 5140 Gate Pkwy Apt 1108, Jacksonville, FL 32256-0259 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34986 |
Please comment or provide details below to improve the information on KRYSTAL NICOLE 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.