Individual provider Active NPI

Regan Baldwin, SLP

  • Speech-Language Pathologist
  • Vestavia, AL
National Provider Identifier
1699284208
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7879 Issued in LA
Practice address
3140 Cahaba Heights Rd
Vestavia, AL 35243-5243
Phone
(205) 969-8080
NPI assigned
Sep 26, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7879 LA Primary

Addresses

Primary practice location

3140 Cahaba Heights Rd
Vestavia, AL 35243-5243

Mailing address

3140 Cahaba Heights Rd
Vestavia, AL 35243-5243
Phone (205) 969-8080

Other practice location 1

1326 Church St
Zachary, LA 70791-2743
Phone (225) 654-8208 ext. 1160

Other identifiers 2

IdentifierTypeStateIssuer
4376OtherALLICENSE
7879OtherLALICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7879LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699284208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 CAHABA HEIGHTS RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435243",
            "telephone_number": "205-969-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 CAHABA HEIGHTS RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435243",
            "telephone_number": "205-969-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 Church St",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707912743",
            "country_code": "US",
            "telephone_number": "225-654-8208 x1160",
            "fax_number": "225-654-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "REGAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4376",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7879",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.