Rachel Lynn Stotts

Key facts

NPI

1740328384

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

966 (ND)

Practice address

10318 6TH St S
Fargo, ND 58104-8116

Phone

(701) 238-3908

Fax

(701) 232-2330

NPI assigned

Feb 4, 2007

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Pediatric Speech Solutions Incorporated Speech-Language Pathologist · Fargo, ND · NPI 1174679534
  NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

Other names

• Miss Rachel Lynn Reese Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740328384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 26TH STREET CIR S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605353",
            "telephone_number": "218-287-1184",
            "fax_number": "701-232-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10318 6TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048116",
            "telephone_number": "701-238-3908",
            "fax_number": "701-232-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTTS",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "966",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51269",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "REESE",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Waldemar G Storm, MD
• Bailey S Stotts, MOT, OTR/L
• Kaley M Stotz, PT, DPT
• Christopher Matthew Stout, RN
• Elizabeth Roze Stoutland, LMSW
• David Allen Stover, MD
• Rebekah Strack, CRNA

All providers in Fargo, ND · Speech-Language Pathologist in North Dakota