Revonda Kiser Pruitt, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1685 Issued in AL

Practice address

502 W Hood St
Piedmont, AL 36272-1530

Phone

(256) 447-9481

NPI assigned

Sep 10, 2018

Last updated

Sep 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hope LLC

  dba Helping Hands Therapy

  • Occupational Therapist
  • Tuscaloosa, AL
  • NPI 1497871495

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1255814851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 US HIGHWAY 278 E",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362728365",
            "telephone_number": "256-310-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HOOD ST",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362721530",
            "telephone_number": "256-447-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "REVONDA",
        "middle_name": "KISER",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "1685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedmont Health Care Center
• Piedmont Kids Care
• Kenneth Lee Pilgreen, M.D.
• Ryan C Price, O.D.
• Jennifer L Proctor, DMD
• Marissa Jade Stanley, OTR/L
• The Helping Hands Home Healthcare
• The Helping Hands Non Medical Home Healthcare LLC
• The Helping Hands Non-Medical Home Healthcare LLC
• Thompson Ambulance Service Inc

• Speech-Language Pathologist in Piedmont, AL
• Providers in Piedmont, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.