Active NPI
Megan Squibb Ream, LMSW
- Social Worker
- Austin, TX
National Provider Identifier
1114054749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111701
- Practice address
- 601 W 14TH St
Austin, TX 78701-1725 - Phone
- (650) 269-5896
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14708 | CA | |
| Social Worker | 104100000X | 111701 | TX | Primary |
Addresses
Primary practice location
601 W 14TH St
Austin, TX 78701-1725
Mailing address
PO Box 7339
Austin, TX 78713-7339
Phone (512) 475-6635
Other practice location 1
2615 Pecos St
Austin, TX 78703-1633
Phone (650) 269-5896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111701 | TX | MD | Occupational Therapist |
| PA14708 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728777600000",
"number": "1114054749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7339",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787137339",
"telephone_number": "512-475-6635",
"fax_number": "512-471-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 14TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011725",
"telephone_number": "650-269-5896"
}
],
"practiceLocations": [
{
"address_1": "2615 Pecos St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787031633",
"country_code": "US",
"telephone_number": "650-269-5896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REAM",
"first_name": "MEGAN",
"middle_name": "SQUIBB",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2024-10-13",
"certification_date": "2024-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14708",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "111701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.