Active NPI
Rebeca Reynoso, B.A. SLPA
- Speech-Language Pathologist
- Katy, TX
National Provider Identifier
1396241212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 40472
- Practice address
- 4914 Vintage Grove CT
Katy, TX 77449-4591 - Phone
- (832) 866-6030
- NPI assigned
- Mar 30, 2018
- Last updated
- Mar 30, 2018
- 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 | 40472 | TX | Primary |
Addresses
Primary practice location
4914 Vintage Grove CT
Katy, TX 77449-4591
Mailing address
4914 Vintage Grove CT
Katy, TX 77449-4591
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40472 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1396241212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 VINTAGE GROVE CT",
"city": "KATY",
"state": "TX",
"postal_code": "774494591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4914 VINTAGE GROVE CT",
"city": "KATY",
"state": "TX",
"postal_code": "774494591",
"telephone_number": "832-866-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "REBECA",
"credential": "B.A. SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "40472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
- Reynolds Care Allegiance LLC
- Reynolds Care Allegiance LLC (Reynolds Home Care)
- Reynolds Care Allegiance LLC (Reynolds Home Health)
- Reynolds Care Allegiance LLC (Reynolds Hospice & Palliative Care)
- Marnely Reynoso, RN
- RHD Dental PLLC
- Rhema Living Center Inc
- Jamie Rheman
- Rheumatology Associates of Greater Houston PLLC
- Margaret Kathleen Rhoden, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.