Denique Reid

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

113264 Issued in TX

Practice address

4961 Buford Hwy
Suite 201
Chamblee, GA 30341-3535

Phone

(404) 575-4000

NPI assigned

Jul 19, 2016

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Speech Time

  • Speech-Language Pathologist
  • Humble, TX
  • NPI 1457650178
  Medicare reassignment NPD
• Atlanta Pediatric Therapy, Inc.

  • Early Intervention Provider Agency
  • Chamblee, GA
  • NPI 1578622593
  NPD (past)
• Exceptional Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1831440239
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1780037325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 BUFORD HWY",
            "address_2": "SUITE 201",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413535",
            "telephone_number": "404-575-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 BUFORD HWY",
            "address_2": "SUITE 201",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413535",
            "telephone_number": "404-575-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "DENIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009340",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiant Smiles Dental of Chamblee LLC
• Kim Chau Raharja, O.D.
• Rainbow Wellness Center Inc
• William A Reagin, DDS
• Adam Keith Rechtman, D.C.
• Ryan Lee Reid, PT
• Respiratory Services Inc.
• Restore Behaviroal Health
• Resurgens, LLC (nMotion)
• Revelle Physical Therapy

• Speech-Language Pathologist in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.