Reyna Olivia Maria Purcell, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

21585 Issued in FL

Practice address

7340 SW 13TH Rd Unit 628
Gainesville, FL 32607-3582

Phone

(616) 914-2535

NPI assigned

Jun 22, 2023

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

Other names 1

• Reyna Olivia Maria Breuring Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Acg Therapy Center, Inc

  • Behavior Analyst
  • Gainesville, FL
  • NPI 1588651921

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1588340962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 SW 13TH RD UNIT 628",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073582",
            "telephone_number": "616-914-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 SW 13TH RD UNIT 628",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073582",
            "telephone_number": "616-914-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "REYNA",
        "middle_name": "OLIVIA MARIA",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "21585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REYNA",
            "last_name": "BREURING",
            "middle_name": "OLIVIA MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Pullos
• Pulmonary Physicians of Gainesville, PA
• Andres J Pumariega, MD
• Susan Michele Pundt, P.T.
• Madhukar K. Punja, M.D.
• Sandra Purcell, MSN, RN CPNP-PC
• Lauren Michelle Purdin, L.M.T.
• Pure Love Home Care LLC
• Pure Screening Solutions LLC,
• Patrice Lacarol Puritt

• Speech-Language Pathologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.