Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447766290 Individual Practitioner Female Practitioner

Stephanie Rae Green

Speech-Language Pathologist • Mount Vernon, IL

Professional Overview & Biography Verified Profile Summary

Stephanie Green is a registered healthcare professional specializing in Speech-Language Pathologist in Mount Vernon, IL. Practice services are available at 401 N 30TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 N 30th St

Mount Vernon, IL 628642355

Telephone 6182448068
Fax 6182448075

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mount Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Mount Vernon, IL (10321 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 IL 146003822

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

Medicaid State Provider ID
363028 (IL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Casey Ryan , MS, CCC-SLP

Speech-Language Pathologist

NPI 1003565284

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2017

Registered at 401 N 30TH ST, MOUNT VERNON, IL 628642355 (Tel: 6182448068)

📍
Updated Business Mailing Address December 15, 2017

Registered at 14785 N PUMP HOUSE LN, MOUNT VERNON, IL 628648750 (Tel: 6182448068)

👤
Provider Name / Credentials Updated December 15, 2017

Recorded as STEPHANIE GREEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2017

Speech-Language Pathologist (License #146003822 in IL)

🟢
Initial NPI Registration & Enumeration December 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1447766290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2017
Last Update: December 15, 2017
Sole Proprietor: No

Mailing Address

14785 N Pump House Ln

Mount Vernon, IL 628648750

Phone: 6182448068

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.