Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568836450 Individual Practitioner Female Practitioner

Kristin Green

Speech-Language Pathologist • Costa Mesa, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kristin Green is a registered healthcare professional specializing in Speech-Language Pathologist in Costa Mesa, CA. Official NPI practice address is registered at 695 TOWN CENTER DR STE 700.

Practice Location & Contact Primary Location

Practice Address

695 Town Center Dr Ste 700

Costa Mesa, CA 92626

Telephone 9496623900
Fax 9494310045

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Costa Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Costa Mesa, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 25544

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 02, 2018

Registered at 695 TOWN CENTER DR STE 700, COSTA MESA, CA 92626 (Tel: 9496623900)

📍
Updated Business Mailing Address July 02, 2018

Registered at 695 TOWN CENTER DR STE 700, COSTA MESA, CA 926267187 (Tel: 9496623900)

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2017

Registered at 26284 OSO RD, SUITE 114, SAN JUAN CAPISTRANO, CA 926751629 (Tel: 9493705677)

📍
Updated Business Mailing Address November 09, 2017

Registered at PO BOX 316, DANA POINT, CA 926290316

👤
Provider Name / Credentials Updated November 09, 2017

Recorded as KRISTIN GREEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Speech-Language Pathologist (License #25544 in CA)

NPI Profile Active November 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2015

Registered at 26284 OSO RD, SUITE 114, SAN JUAN CAPISTRANO, CA 926751629 (Tel: 9493705677)

📍
Updated Business Mailing Address November 16, 2015

Registered at PO BOX 316, DANA POINT, CA 926290316

👤
Provider Name / Credentials Updated November 16, 2015

Recorded as KRISTIN TUCKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2015

Speech-Language Pathologist (License #10367 in CA)

🟢
Initial NPI Registration & Enumeration November 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568836450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2015
Last Update: July 02, 2018
Sole Proprietor: Yes

Mailing Address

695 Town Center Dr Ste 700

Costa Mesa, CA 926267187

Phone: 9496623900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.