Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIERSTYN B GREEN
Deactivated Sole ProprietorKIERSTYN B GREEN is a Speech, Language and Hearing Specialist healthcare provider located in EFFINGHAM, Illinois. NPI 1558883215 is deactivated in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · EFFINGHAM, IL
This NPI has been deactivated.
The record was deactivated on June 8, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1558883215
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2017 (0.9041095890411 yrs)
- Last Updated
- Oct 1, 2020
- Deactivated
- Jun 8, 2018
- Licenses
-
2017023547 (MO)146014216 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2803 S BANKER STEFFINGHAM, IL, 624012978Browse IL providers · Browse ZIP 62401
- Phone
- 2175401500
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in EFFINGHAM, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. DEENA MARIE HOLMAN | MS, CCC/SLP | 1912095704 |
| AMY ELIZABETH SPICER | M.S. CCC/SLP | 1740367606 |
| MRS. MICHELLE M SEAMAN | M.S., CCC-SLP | 1558416487 |
| KAREN MARIE ROLEY | SLP | 1720105778 |
| MRS. EMILY S LOTZ | M.S. CCC-SLP | 1972625374 |
| MRS. MEGAN AMBER PITTMAN | M.S., CCC/SLP-L | 1073780706 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.