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MS. KIMBERLEY B GREEN MS, CCC-SLP
NPI 1235448119
Speech-Language Pathologist in Suffolk, VA

Active since September 27, 2010Accepts Medicare Assignment
100 N MAIN ST, SUFFOLK, VA 23434(757) 925-6764 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kimberley B Green Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLEY B GREEN MS, CCC-SLP (NPI 1235448119) is an individual speech-language pathologist provider in Suffolk, Virginia, licensed in Virginia (2202003947) and active in the NPI registry since September 2010. She maintains 2 additional practice locations and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235448119
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. KIMBERLEY B GREENCredential: MS, CCC-SLP
Location Address100 N MAIN STSuffolk, VA 23434
Mailing Address100 N Main StSuffolk, VA 23434-4529 · (757) 925-6764
Phone(757) 925-6764
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 27, 2010
Last NPPES UpdateSeptember 17, 2019
✔ NPI 1235448119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in VA · 2202003947
Definition
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.
100 N MAIN ST, Suffolk, VA 23434
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Other Names 1

Former Name (1)Ms. Kimberley Butler Ms, Ccc-slp

Secondary Practice Locations 2

Location 14016 Raintree Rd, Suite 240Chesapeake, VA 23321-3700 · Phone (757) 488-2864 · Fax (757) 488-4735
Location 2100 N Main StSuffolk, VA 23434 · Phone (757) 925-6764

Other Identifiers 1

Medicaid004979061VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberley B Green Ms, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234675653
PECOS Enrollment IDI20240722003606

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUFFOLK CITY PUBLIC SCHOOLS
Local Education Agency (LEA)
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6754
TOBY PENNELL
Occupational Therapy Assistant
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764
MS. SHERRY WYNETTE HARPER M.ED.
Speech-Language Pathologist
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6752
ASHLEY NAOMI DEESE
Psychologist (School)
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6750
JOY DAVIS CCC-SLP
Speech-Language Pathologist
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764
MRS. MOLLY GRANDY
Speech-Language Pathologist
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764
ALEXANDRA L D'BENE
Occupational Therapist
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764
YOLANDA EUGENIA COLE-GILL MSW
Social Worker (School)
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Green's NPI number?

The NPI number for Kimberley Green is 1235448119. It was assigned to this individual provider in the NPPES registry on September 27, 2010. The provider is also known as Ms. Kimberley Butler Ms, Ccc-Slp.

Where is Kimberley Green located?

Kimberley Green practices at 100 N Main St, Suffolk, VA 23434. The listed phone number is (757) 925-6764.

What is Kimberley Green's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kimberley Green enrolled in Medicare?

Yes. Kimberley Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberley Green was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.