Timberline Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TIMBERLINE SPEECH THERAPY, LLC

Practice address

6240 Sierra Mesa St
Reno, NV 89511-4397

Phone

(775) 525-0866

NPI assigned

Nov 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauren Jackson, M.S., CCC-SLPNPI 1174628887

Title

Speech-Language Patholgist/Manager

Phone

(775) 525-0866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Bremer Jackson, MS CCC SLP

  • Speech-Language Pathologist
  • Reno, NV
  • NPI 1174628887
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1376318642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19244",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895110989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 SIERRA MESA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114397",
            "telephone_number": "775-525-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLGIST/MANAGER",
        "authorized_official_telephone_number": "775-525-0866",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennan Tica
• Nicholas Leroy Tieken, LCSW, LCADC
• Shannon Tillman-Allen
• Danielle Tillman, LCSW, LADC, LADC-S
• China Rose Tillotson
• Cheyanne Timmerman
• Grace Lee Timmerman, MSW
• Serena Timoszyk, LADC
• Timothy a. Janiga, MD, PLLC
• Timothy J. Louie, M.D., LTD.

• Speech-Language Pathologist in Reno, NV
• Providers in Reno, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.