Organization Active NPI

Southern Reynolds Rii

  • Speech-Language Pathologist
  • Ellington, MO
National Provider Identifier
1700916400
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.