Kierstyn B. Green
NPI 1558883215ActiveIndividual· Speech-Language Pathologist· Effingham, IL
Speech-Language Pathologist with Empowerme Rehabilitation Illinois LLC, practicing in Effingham, Illinois. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1558883215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 13, 2017 |
| Last updated in NPPES | Oct 1, 2020 |
| Certified by provider | Oct 1, 2020 |
| Reactivated | Jul 25, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 146014216 | IL |
| Speech-Language Pathologist | 235Z00000X | 2017023547 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 2017 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Empowerme Rehabilitation Illinois LLCSpringboro, OH · 354 clinicians
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