Individual provider Active NPI

Jana Rae Reynolds, MS CCC SLP

  • Speech-Language Pathologist
  • Aurora, CO
National Provider Identifier
1174048847
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
MSSLP.0000005 Issued in CO
Practice address
5954 S Quatar CT
Aurora, CO 80015-5015
Phone
(303) 250-4291
Fax
(720) 789-2210
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X MSSLP.0000005 CO Primary

Addresses

Primary practice location

5954 S Quatar CT
Aurora, CO 80015-5015

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (303) 250-4291

Other practice location 1

1679 S Naples St
Aurora, CO 80017-5161
Phone (402) 616-2155

Other identifiers 1

IdentifierTypeStateIssuer
251E00000XOtherCO251E00000X - HOME HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL firststepspediatric.com Direct First Steps Pediatric Therapy Inc

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MSSLP.0000005COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Steps Pediatric Therapy Inc PastSince May 14, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1174048847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-250-4291",
            "fax_number": "720-789-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5954 S QUATAR CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155015",
            "telephone_number": "303-250-4291",
            "fax_number": "720-789-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1679 S Naples St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800175161",
            "country_code": "US",
            "telephone_number": "402-616-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JANA",
        "middle_name": "RAE",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-06-13",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "MSSLP.0000005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "251E00000X - HOME HEALTH",
            "identifier": "251E00000X",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "firststepspediatric.com",
            "affiliation": "Y",
            "endpointDescription": "303-250-4291",
            "affiliationName": "First Steps Pediatric Therapy Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5954 S Quatar Ct",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800155015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.