Active NPI
Glendy Reed, MS-CCC
- Speech-Language Pathologist
- Rogers, AR
National Provider Identifier
1316209489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106972
- Practice address
- 1000 W Poplar St
Rogers, AR 72756-4242 - Phone
- (479) 631-7678
- Fax
- (479) 631-8886
- NPI assigned
- Jun 13, 2012
- 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 | 106972 | TX | Primary |
Addresses
Primary practice location
1000 W Poplar St
Rogers, AR 72756-4242
Mailing address
11411 Ce King Pkwy
Houston, TX 77044
Phone (479) 631-7678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106972 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106972 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwa Speech & Reading LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Post 0218, PLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Springdale, AR
- NPI 1891421533
-
- Physical Therapy Clinic/Center
- Rogers, AR
- NPI 1679617427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1316209489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11411 CE KING PKWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77044",
"telephone_number": "479-631-7678",
"fax_number": "479-631-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W POPLAR ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727564242",
"telephone_number": "479-631-7678",
"fax_number": "479-631-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "GLENDY",
"credential": "MS-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106972",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.