Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235448119 Individual Practitioner Female Practitioner

Kimberley B Green , MS, CCC-SLP

Speech-Language Pathologist • Suffolk, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberley Green, MS, CCC-SLP is a certified Speech-Language Pathologist practicing in Suffolk, VA. With approximately 5 years of clinical experience since completing medical education in 2021, Kimberley Green delivers high-quality medical care to the local community at 100 N MAIN ST.

Kimberley Green maintains professional affiliations with Legacy Healthcare Services Inc, Comprehensive Therapeutics Ltd and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

100 N Main St

Suffolk, VA 23434

Telephone 7579256764
Associated Practice Facility / Clinic
🏢 Suffolk City Public Schools Facility NPI 1003996083

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Suffolk, VA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -12.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
65 Specialists

Practicing in Suffolk, VA (4974 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

Clinical Seniority & Experience Comparison

Dr. Green (5 Years) 5 Yrs
Suffolk Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202003947

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
004979061 (VA)

Hospital & Practice Group Affiliations

Comprehensive Therapeutics Ltd

9619 Burke Lake Rd, Burke, VA 220153004

Phone: 7032501637

Legacy Healthcare Services Inc

5901 Macarthur Blvd Nw, Washington, DC 200162541

Phone: 2022446800

Legacy Healthcare Services Inc

9642 Burke Lake Rd, Burke, VA 220153052

Phone: 7035437920

Secondary Practice Locations

4016 Raintree Rd, Suite 240

Chesapeake, VA 233213700

Phone: 7574882864

100 N Main St

Suffolk, VA 23434

Phone: 7579256764

Practice Associates & Co-Workers

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

25 Associated Practitioners
Toby Pennell

Occupational Therapy Assistant

NPI 1023561479
Joy Davis , CCC-SLP

Speech-Language Pathologist

NPI 1154961126

Speech-Language Pathologist (Certificate of Clinical Competence)

Molly Grandy

Speech-Language Pathologist

NPI 1245707066
Alexandra D'bene

Occupational Therapist

NPI 1285197392
Yolanda Cole-Gill , MSW

Social Worker - School

NPI 1306403399

Master of Social Work

Emily Hunley , CCC-SLP

Speech-Language Pathologist

NPI 1326515933

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 17, 2019

Registered at 100 N MAIN ST, SUFFOLK, VA 23434 (Tel: 7579256764)

📍
Updated Business Mailing Address September 17, 2019

Registered at 100 N MAIN ST, SUFFOLK, VA 234344529 (Tel: 7579256764)

NPI Profile Active September 27, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2010

Registered at 4016 RAINTREE RD, SUITE 240, CHESAPEAKE, VA 233213700 (Tel: 7574882864)

📍
Updated Business Mailing Address September 27, 2010

Registered at 4016 RAINTREE RD, SUITE 240, CHESAPEAKE, VA 233213700 (Tel: 7574882864)

👤
Provider Name / Credentials Updated September 27, 2010

Recorded as KIMBERLEY GREEN, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2010

Speech-Language Pathologist (License #2202003947 in VA)

🟢
Initial NPI Registration & Enumeration September 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kimberley Green. Be the first to share your experience!

Sign in to leave a review for Kimberley Green

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1235448119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2010
Last Update: September 17, 2019
Sole Proprietor: No

Mailing Address

100 N Main St

Suffolk, VA 234344529

Phone: 7579256764

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.