Elena Marie Reynolds

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA13763 Issued in AZ

Practice address

2836 W Bowker St
Phoenix, AZ 85041-3472

Phone

(602) 689-5891

NPI assigned

Jul 27, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1306572748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 W BOWKER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850413472",
            "telephone_number": "602-689-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 W BOWKER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850413472",
            "telephone_number": "602-689-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ELENA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://dcc.therapycorner.com/Account/Login",
            "affiliation": "N",
            "address_1": "2836 W Bowker St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850413472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bridget S. Reynolds, BSN, RN
• Carrie Anne Reynolds, MD
• Cathy Reynolds, NNP
• Charles Christopher Reynolds, PT MHS CHT
• Cindy Marie Reynolds, MD, MS
• Hannah Reynolds, PHARM.D.
• Jackson David Reynolds, MD
• Jessica K Reynolds
• Justin Alan Reynolds, DMD
• Kristine Marie Reynolds

• Speech-Language Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.