Active NPI
Lia Elizabeth Keith Reis
- Speech-Language Pathologist
- Bedford, OH
National Provider Identifier
1598423063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.14661
- Practice address
- 1387 Caryl Dr
Bedford, OH 44146-4528 - Phone
- (440) 439-1500
- NPI assigned
- Dec 2, 2021
- 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 | SP.14661 | OH | Primary |
Addresses
Primary practice location
1387 Caryl Dr
Bedford, OH 44146-4528
Mailing address
1387 Caryl Dr
Bedford, OH 44146-4528
Phone (440) 439-1500
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 |
|---|---|---|---|
| SP.14661 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1598423063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1387 CARYL DR",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441464528",
"telephone_number": "440-439-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1387 CARYL DR",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441464528",
"telephone_number": "440-439-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS",
"first_name": "LIA",
"middle_name": "ELIZABETH KEITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-02",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.14661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.