Radiah Reynolds

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#8398 Issued in AR

Practice address

2825 Clover LN
Conway, AR 72032-8997

Phone

(870) 550-7003

Fax

(501) 358-3785

NPI assigned

Jan 24, 2011

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 and National Provider Directory roles.

• Dystinguished Learners LLC

  • Hearing and Speech Clinic/Center
  • Conway, AR
  • NPI 1831664408
  NPD Authorized official
• Here 4 Kids

  • Speech-Language Pathologist
  • Maumelle, AR
  • NPI 1407336944
  NPD (past)

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1083919948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AMITY RD SUITE 5B #139",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "870-550-7003",
            "fax_number": "870-550-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 CLOVER LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720328997",
            "telephone_number": "870-550-7003",
            "fax_number": "501-358-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "RADIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Reynolds, RECOVERY ASSISTANT
• David Michael Reynolds, LPC
• Laiken Armani Reynolds
• Mitchell Reynolds
• Molly Reynolds, LMSW
• George Vee Rhode
• Michelle Allred Rhodes, OTR/L
• Payton Edward Rhodes
• Megan Patricia Rhyne
• Julie Shannon Rial, LPC

• Speech-Language Pathologist in Conway, AR
• Providers in Conway, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.