Stacy Rezek, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1581 Issued in KS

Practice address

128 S Chestnut St
Olathe, KS 66061-3453

Phone

(913) 488-3678

NPI assigned

Aug 18, 2016

Last updated

Mar 11, 2022By 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

Locations

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.

• S.L. R. Speech Therapy Services LLC

  • Speech-Language Pathologist
  • Olathe, KS
  • NPI 1952059719
  NPD Authorized official

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1053866111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11189 S HASTINGS ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617153",
            "telephone_number": "913-424-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S CHESTNUT ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613453",
            "telephone_number": "913-488-3678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11189 S Hastings St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617153",
            "country_code": "US",
            "telephone_number": "913-424-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZEK",
        "first_name": "STACY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Anayi Reyes Vredenburg
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• Ashley Reynolds
• Lisa Reynolds, OTR
• Madison Reynolds
• Rhoades Family Dentistry
• Ray Rhoades, DDS
• Anne Catherine Rhoads, MD
• Casey Lee Rhoads, D.D.S.
• Kelly L Rhodes-Stark, MD

• Speech-Language Pathologist in Olathe, KS
• Providers in Olathe, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.