Makenna Green, MA, SLP
NPI 1467004697ActiveIndividual· Speech-Language Pathologist· St Charles, IL
Speech-Language Pathologist (MA, SLP) with Northern Illinois University, practicing in St Charles, Illinois. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1467004697 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, SLP |
| Sole proprietor | No |
| NPI issued | Jul 9, 2019 |
| Last updated in NPPES | Jul 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 242.005419 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (IL) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Northern Illinois UniversityDekalb, IL · 10 clinicians
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