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

Nicole Green

Individual provider Speech-Language Pathologist · NPI 1699484238

Nicole Green is a Qualified Speech Language Pathologist in Draper, Utah. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2022

Practice location Address checks out

11631 S 700 E
Draper, UT 84020-8288
Phone: (801) 712-8907
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14226749-4104 (UT)

Record details

NPI number1699484238
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 22, 2022
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address11312 S Berg Hollow Ln, South Jordan, UT 84095-4023

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Draper