Active NPI
Diana Lucile Reese, M.S.
- Speech-Language Pathologist
- Taylorsville, UT
National Provider Identifier
1174750434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7697722-4102
- Practice address
- 3845 W 4700 S
Taylorsville, UT 84129-3454 - Phone
- (801) 840-4360
- Fax
- (801) 840-4399
- NPI assigned
- Jun 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7697722-4102 | UT | Primary |
Addresses
Primary practice location
3845 W 4700 S
Taylorsville, UT 84129-3454
Mailing address
1167 Murray Holladay Rd Apt 9
SLC, UT 84117-4967
Phone (801) 875-2094
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7697722-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1174750434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 MURRAY HOLLADAY RD APT 9",
"city": "SLC",
"state": "UT",
"postal_code": "841174967",
"telephone_number": "801-875-2094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 W 4700 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841293454",
"telephone_number": "801-840-4360",
"fax_number": "801-840-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "DIANA",
"middle_name": "LUCILE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "7697722-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.