Collin Reynolds, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19027 Issued in CA

Practice address

1801 NW Vesper St
Blue Springs, MO 64015-3219

Phone

(816) 224-1487

Fax

(816) 224-1310

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blue Springs R-IV School District

  • Local Education Agency (LEA)
  • Blue Springs, MO
  • NPI 1316134133
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1265629919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W PROVIDENCE AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683808",
            "telephone_number": "714-923-1527",
            "fax_number": "714-744-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW VESPER ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153219",
            "telephone_number": "816-224-1487",
            "fax_number": "816-224-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "COLLIN",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "0348199",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Redel
• Jennifer Reid, LPC, RD, LD
• Kris Winkler Reifel, RPH,CDM
• Relatyv Mobile Medical LLC
• Donna Rex, RN
• Lauren Richard
• Jacki Richardson, RN
• Rick Aldred Counseling LLC
• Melissa Renee Riddle, MS, LPC
• Lauren Riley

• Speech-Language Pathologist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.