Erin Reynolds, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2540 Issued in NE

Practice address

913 Village SQ
Gretna, NE 68028-7853

Phone

(402) 932-0747

NPI assigned

Jan 5, 2018

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NE

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Key Physical Therapy, IncGroup PAC ID 5991988693, 20 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Key Physical Therapy PC

  dba Key Complete Therapies

  • Physical Therapist
  • Omaha, NE
  • NPI 1710299169

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1275040719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287853",
            "telephone_number": "402-932-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 VILLAGE SQ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287853",
            "telephone_number": "402-932-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 N Adams St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680463111",
            "country_code": "US",
            "telephone_number": "402-916-4539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ERIN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Kay Reisdorff
• Clinton Matthew Reistoffer
• Dana Marie Reistoffer
• Carly Renken, M.ED.
• Lindsay Nicole Reuter
• Rylie Riepl
• Cathleen Roark, OD
• Kailey Christine Roberg
• Jena Roeber, OTR/L, PHS, CLC
• Makenna Rommelfanger, D.C.

• Speech-Language Pathologist in Gretna, NE
• Providers in Gretna, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.