Active NPI
Southern Reynolds Rii
- Speech-Language Pathologist
- Ellington, MO
National Provider Identifier
1700916400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SOUTHERN REYNOLDS RII
- Practice address
- One School Street
Ellington, MO 63638 - Phone
- (573) 663-2291
- Fax
- (573) 663-2412
- NPI assigned
- Mar 6, 2007
- Last updated
- May 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dustie Schweighauser
- Title
- District Coordinator
- Phone
- (573) 663-2291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
One School Street
Ellington, MO 63638
Mailing address
One School Street
Ellington, MO 63638
Phone (573) 663-2291
National Provider Directory
National Provider DirectoryLocations
1 School St
Ellington, MO 63638
Phone (573) 663-2291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401148800000",
"number": "1700916400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE SCHOOL STREET",
"city": "ELLINGTON",
"state": "MO",
"postal_code": "63638",
"telephone_number": "573-663-2291",
"fax_number": "573-663-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE SCHOOL STREET",
"city": "ELLINGTON",
"state": "MO",
"postal_code": "63638",
"telephone_number": "573-663-2291",
"fax_number": "573-663-2412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN REYNOLDS RII",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2014-05-27",
"status": "A",
"authorized_official_last_name": "SCHWEIGHAUSER",
"authorized_official_first_name": "DUSTIE",
"authorized_official_title_or_position": "DISTRICT COORDINATOR",
"authorized_official_telephone_number": "573-663-2291",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellington, MO
- Rebecca Rae Singleton, DMD
- Southeast Health Center of Reynolds County LLC (SoutheastHEALTH Center of Reynolds County)
- Southeast Health Center of Reynolds County, LLC (SoutheastHEALTH Ellington Clinic)
- Southeast Health Center of Reynolds County, LLC (SoutheastHEALTH Family Medicine of Ellington)
- Southeast Health Center of Reynolds LLC (SoutheastHEALTH Center of Reynolds County)
- Joyce Anne Stout
- Kelsi Leah Ann Vickers
- Evelyn D Walberg
- Cheryl Renee White
- Tasha Lynn Wisdom, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.