Active NPI
Kyle Mathew Reed, MS
- Speech-Language Pathologist
- Laconia, NH
National Provider Identifier
1336813153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- P-0856
- Practice address
- 345 Union Ave
Laconia, NH 03246-2898 - Phone
- (603) 524-3350
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- No
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 | P-0856 | NH | Primary |
Addresses
Primary practice location
345 Union Ave
Laconia, NH 03246-2898
Mailing address
806 N Main St
Laconia, NH 03246-2603
Phone (603) 524-1497
Other practice location 1
150 McGrath St
Laconia, NH 03246-2664
Phone (603) 524-4632
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-0856 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boothby Therapy Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Laconia, NH
- NPI 1770797094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1336813153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 N MAIN ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032462603",
"telephone_number": "603-524-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 UNION AVE",
"city": "LACONIA",
"state": "NH",
"postal_code": "032462898",
"telephone_number": "603-524-3350"
}
],
"practiceLocations": [
{
"address_1": "150 McGrath St",
"address_purpose": "LOCATION",
"city": "Laconia",
"state": "NH",
"postal_code": "032462664",
"country_code": "US",
"telephone_number": "603-524-4632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED",
"first_name": "KYLE",
"middle_name": "MATHEW",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "P-0856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.