NICOLE GREEN
NPI 1699484238
Speech-Language Pathologist in Draper, UT

Q: What is Nicole Green's NPI number?

The NPI number for Nicole Green is 1699484238. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Q: What is Nicole Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Green was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since November 22, 2022

11631 S 700 E, DRAPER, UT 84020(801) 712-8907 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2025, Nov 22, 2022 (2 updates tracked since 2022).

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About Nicole Green NPPES

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

NICOLE GREEN (NPI 1699484238) is an individual speech-language pathologist provider in Draper, Utah, licensed in Utah (14226749-4104) and active in the NPI registry since November 2022. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1699484238

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameNICOLE GREEN

Location Address11631 S 700 EDraper, UT 84020-8288

Mailing Address11312 S Berg Hollow LnSouth Jordan, UT 84095-4023

Phone(801) 712-8907

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 22, 2022

Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1699484238 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 UT · 14226749-4104

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.

11631 S 700 E, Draper, UT 84020

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426534157

PECOS Enrollment IDI20260112002813

Other Providers at the Same Location NPPES 9

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

WENTWORTH SENIOR COMMUNITY AT DRAPER

Assisted Living Facility (Assisted Living, Behavioral Disturbances)