Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kierstyn B Green

Individual provider Speech-Language Pathologist · NPI 1558883215

Kierstyn B Green is a Qualified Speech Language Pathologist in Effingham, Illinois. Qualified in 2017, 9 years ago. Practices with Empowerme Rehabilitation Illinois LLC, a 367-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
9
Licensed in
IL, MO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2803 S Banker St
Effingham, IL 62401-2978
Phone: (217) 540-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 634 N Main St Ste 3, O Fallon, IL 62269 — (618) 632-4222

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146014216 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2017023547 (MO)

Record details

NPI number1558883215
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 13, 2017
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Empowerme Rehabilitation Illinois Llc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Effingham