Reagan Josephine Barnes, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17274 Issued in OR

Practice address

17020 SW Upper Boones Ferry Rd Ste 201
Tigard, OR 97224-7078

Phone

(503) 894-1539

Fax

(971) 353-5182

NPI assigned

Jul 11, 2022

Last updated

Jul 11, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Parkwood Clinic LLC

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1124469325
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1366176802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 10TH ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323733",
            "telephone_number": "360-836-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 SW UPPER BOONES FERRY RD STE 201",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247078",
            "telephone_number": "503-894-1539",
            "fax_number": "971-353-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "REAGAN",
        "middle_name": "JOSEPHINE",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ray Barlow
• Brian Barnes, LCSW
• Heather Barnes
• John D Barnes
• Miki Barnes, LCSW
• Rhonda Denise Barnes
• Caitlin Barney
• Elise Madeline Baron, LAC
• Evagelia Baros, DO
• Enrique Barrera Jr., FNP

• Speech-Language Pathologist in Tigard, OR
• Providers in Tigard, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.