Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215111224 Individual Practitioner Female Practitioner

Susan Green , SLP

Speech-Language Pathologist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Susan Green, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jacksonville, FL. Practice services are available at 4600 BEACH BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4600 Beach Blvd

Jacksonville, FL 322077700

Telephone 9043465100
Fax 9043465111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
565 Specialists

Practicing in Jacksonville, FL (11640 Statewide)

Telehealth Adoption Rate
1.6% 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 FL SA 9310

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License Number
SA 9310 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Kristin Owen , PT

Physical Therapist

NPI 1124135223

Physical Therapist

Amanda Hunt-Raineri

Speech-Language Pathologist

NPI 1245303205
Elaine Culvyhouse

Psychologist - School

NPI 1285743732
Lindsey Haugan , OTR

Occupational Therapist

NPI 1376766840

Occupational Therapist Registered

Katherine Lynch , OTR, L

Occupational Therapist

NPI 1407190424

Occupational Therapist Registered, L

Lori Frazier , MA, LMHC

Counselor - Mental Health

NPI 1497864938

Master of Arts, Licensed Mental Health Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2007

Registered at 4600 BEACH BLVD, JACKSONVILLE, FL 322077700 (Tel: 9043465100)

📍
Updated Business Mailing Address December 27, 2007

Registered at 4600 BEACH BLVD, JACKSONVILLE, FL 322077700 (Tel: 9043465100)

👤
Provider Name / Credentials Updated December 27, 2007

Recorded as SUSAN GREEN, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2007

Speech-Language Pathologist (License #SA 9310 in FL)

🟢
Initial NPI Registration & Enumeration December 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215111224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2007
Last Update: December 27, 2007
Sole Proprietor: No

Mailing Address

4600 Beach Blvd

Jacksonville, FL 322077700

Phone: 9043465100

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.