Active NPI
Courtney Reel
- Speech-Language Pathologist
- Nixa, MO
National Provider Identifier
1720414386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2014022687
- Practice address
- 205 North St
Nixa, MO 65714-8663 - Phone
- (573) 300-9931
- NPI assigned
- Sep 16, 2013
- Last updated
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 2014022687 | MO | Primary |
Addresses
Primary practice location
205 North St
Nixa, MO 65714-8663
Mailing address
1349 W Kent Cir
Nixa, MO 65714-9121
Phone (573) 300-9931
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 |
|---|---|---|---|
| 2014022687 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1720414386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 W KENT CIR",
"city": "NIXA",
"state": "MO",
"postal_code": "657149121",
"telephone_number": "573-300-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 NORTH ST",
"city": "NIXA",
"state": "MO",
"postal_code": "657148663",
"telephone_number": "573-300-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEL",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2014022687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nixa, MO
- Denver William Purtee
- Rochelle Puryear
- Susan Denise Quick, PHARMD
- Brittany Ramsey, COTA/L
- Shelby Reams
- Regional Care of Nixa, LLC (Christian Health and Rehabilitation of Nixa)
- Regional Services (Coxhealth School Based Telemedicine)
- Rejuvenate Light and Vision Center
- Reliance Home Health Products, Inc.
- Renal Care Group of the Midwest, Inc. (Renal Care Group Nixa)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.