Active NPI
Valerie Jeanne Reid, CCC-SLP
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1508402249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2018039603
- Practice address
- 5247 Bancroft Ave Apt 2E
Saint Louis, MO 63109-2320 - Phone
- (314) 479-1487
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- 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 | 2018039603 | MO | Primary |
Addresses
Primary practice location
5247 Bancroft Ave Apt 2E
Saint Louis, MO 63109-2320
Mailing address
5247 Bancroft Ave Apt 2E
Saint Louis, MO 63109-2320
Phone (314) 479-1487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14177180 | Other | MO | ASHA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018039603 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1508402249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5247 BANCROFT AVE APT 2E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092320",
"telephone_number": "314-479-1487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5247 BANCROFT AVE APT 2E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092320",
"telephone_number": "314-479-1487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "VALERIE",
"middle_name": "JEANNE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2018039603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "14177180",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.