Kara Nicole Reynolds

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

29002132A Issued in IN

Practice address

8626 Wicker Ave Ste C
Saint John, IN 46373-9053

Phone

(219) 440-7930

Fax

(219) 440-7931

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All of Me Therapy, LLC

  • Speech-Language Pathologist
  • Dyer, IN
  • NPI 1225215312
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1023889037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8626 WICKER AVE STE C",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739053",
            "telephone_number": "219-440-7930",
            "fax_number": "219-440-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 WICKER AVE STE C",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739053",
            "telephone_number": "219-440-7930",
            "fax_number": "219-440-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KARA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IN",
            "license": "29002132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth W Reed, DO
• Rehabilitation & Musculoskeletal Medicine Specialist, LLC
• Grace Elizabeth Renschen
• Rest Haven Illiana Christian Convalescent Home (Providence at Home, Inc.)
• Rest Haven Illiana Christian Convalescent Home (Providence Hospice)
• Gina Roak
• Sandra Robles
• Caroline Rosales, MA, LMHC, NCC
• Victoria Erin Ross
• Samara Ruder, NP-C

• Speech-Language Assistant in Saint John, IN
• Providers in Saint John, IN by specialty
• Speech-Language Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.