Stephanie R. Reynolds, SLP-CCC/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 00003741 Issued in WA

Practice address

1410 John St
Wenatchee, WA 98801-6212

Phone

(509) 667-9061

NPI assigned

Feb 23, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• North Central Educational Service District

  • Early Intervention Provider Agency
  • Wenatchee, WA
  • NPI 1174037550
  NPD (past)

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1336389972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 JOHN STREET",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-667-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 JOHN ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016212",
            "telephone_number": "509-667-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "STEPHANIE",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 00003741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Larie Renard, OD
• Renee L Woods, MD PC
• Renewal Therapy Collective, PLLC
• Mario Reyes, CP 60391002
• Melissa Reynolds
• Tyler Richard Reynolds
• Jonathan K Rhea, DO
• Joel J Rhyner, PA-C
• Ribellia Family Chiropractic PLLC
• Quincy L Ribellia, DC

• Speech-Language Pathologist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.