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
Mailing address9995 N Country Dr, Effingham, IL 62401-4710

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