Active NPI
R.E.a.C.T. Initiative, Inc.
- Speech-Language Pathologist
- Grand Prairie, TX
National Provider Identifier
1114587870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- R.E.A.C.T. INITIATIVE, INC.
- Practice address
- 2360 Comanche TRL
Grand Prairie, TX 75052-8595 - Phone
- (301) 974-2871
- NPI assigned
- Jun 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dionna Louise Latimer-Hearn, PH.D., CCC-SLP
- Title
- Director
- Phone
- (301) 974-2871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2360 Comanche TRL
Grand Prairie, TX 75052-8595
Mailing address
2360 Comanche TRL
Grand Prairie, TX 75052-8595
Phone (301) 974-2871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3929598 | Medicaid | TX |
Other names 1
- REACT Initiative, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560556800000",
"number": "1114587870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 COMANCHE TRL",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528595",
"telephone_number": "301-974-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 COMANCHE TRL",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528595",
"telephone_number": "301-974-2871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R.E.A.C.T. INITIATIVE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-15",
"last_updated": "2019-06-15",
"status": "A",
"authorized_official_last_name": "LATIMER-HEARN",
"authorized_official_first_name": "DIONNA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "301-974-2871",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3929598",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REACT Initiative, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.