Kierstyn B Green
Speech-Language Pathologist • Effingham, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kierstyn Green has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kierstyn Green was a registered Speech-Language Pathologist practicing in Effingham, IL. Throughout an active medical career spanning 1 years, Kierstyn Green provided care at the practice location at 2803 S BANKER ST until profile deactivation on 2018-06-08.
Kierstyn Green was affiliated with Empowerme Rehabilitation Illinois Llc and accepted Medicare assignment.
Historical Medicare Part B clinical services included treatment of speech, language, voice, communication, and/or hearing processing disorder, evaluation of speech sound production with evaluation of language comprehension and expression. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
2803 S Banker St
Effingham, IL 624012978
Medicare Profile & Education
Other
2017
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Effingham, IL
Practicing in Effingham, IL (10321 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92507
Treatment of speech, language, voice, communication, and/or hearing processing disorder
|
285 | 15 | $159.00 | $73.29 |
Medical Specialties & State Licenses
CMS Verified: 2020-10-01NUCC Taxonomy Code: 235Z00000X
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.
NUCC Taxonomy Code: 235Z00000X
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.
Hospital & Practice Group Affiliations
Empowerme Rehabilitation Illinois Llc
7108 Marine Rd, Edwardsville, IL 620254282
Phone: 6187069759
Secondary Practice Locations
634 N Main St Ste 3
O Fallon, IL 62269
Phone: 6186324222
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Behavior Analyst
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2803 S BANKER ST, EFFINGHAM, IL 624012978 (Tel: 2175401500)
Registered at 9995 N COUNTRY DR, EFFINGHAM, IL 624014710 (Tel: 2178212153)
Registered at 1011 N MARTIN ST, EFFINGHAM, IL 624011747 (Tel: 2178212153)
Registered at 634 N MAIN ST STE 3, O FALLON, IL 62269 (Tel: 6186324222)
Registered at 506 PARK HILLS DR, EFFINGHAM, IL 624013118
Recorded as KIERSTYN GREEN
Speech-Language Pathologist (License #2017023547 in MO)
Record deactivated on June 08, 2018
NPI status registered as active in NPPES database
Registered at 16216 BAXTER RD STE 330, CHESTERFIELD, MO 630174778 (Tel: (636) 733-3330)
Registered at 16216 BAXTER RD STE 330, CHESTERFIELD, MO 630174778 (Tel: 6367333330)
Recorded as KIERSTYN BONE
Speech-Language Pathologist (License #2017023547 in MO)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
9995 N Country Dr
Effingham, IL 624014710
Phone: 2178212153
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