Jessica Reese, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2022034203 Issued in MO

Practice address

513 County Road 4222
Poplar Bluff, MO 63901-8047

Phone

(559) 905-6611

NPI assigned

Oct 18, 2022

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

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1093431249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 COUNTY ROAD 4222",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639018047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 COUNTY ROAD 4222",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639018047",
            "telephone_number": "559-905-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "JESSICA",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2022034203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Raylynn Reed
• Brooke N Reed, OT
• Kristi Jo Reed
• William R Reed, D.D.S.
• Autumn Rose Reese
• Sondra G Reese, FNP
• Abigal Rose Reeves
• Wendy Leann Reeves
• Samantha Ann Rehkop, RT
• Tammy Dean Reid, RN, BSN

• Speech-Language Pathologist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.