Individual provider Active NPI

Janerish Browne-Reynolds, MS CCC-SLP

  • Speech-Language Pathologist
  • Bowie, MD
National Provider Identifier
1730660143
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12112199 Issued in MD
Practice address
17111 Russet Dr
Bowie, MD 20716-3629
Phone
(301) 919-1019
Fax
(301) 464-5258
NPI assigned
Aug 23, 2018
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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 12112199 MD Primary

Addresses

Primary practice location

17111 Russet Dr
Bowie, MD 20716-3629

Mailing address

17111 Russet Dr
Bowie, MD 20716-3629
Phone (301) 919-1019

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12112199MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Speech and Language Therapy Center, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1730660143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17111 RUSSET DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163629",
            "telephone_number": "301-919-1019",
            "fax_number": "301-464-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17111 RUSSET DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163629",
            "telephone_number": "301-919-1019",
            "fax_number": "301-464-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNE-REYNOLDS",
        "first_name": "JANERISH",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "12112199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.