Lindsey Rausch Dereadt, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111587 Issued in TX

Practice address

8961 Tesoro Dr
San Antonio, TX 78217-6209

Phone

(210) 407-0441

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1790448751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 WESTCOURT LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571373",
            "telephone_number": "210-827-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 TESORO DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176209",
            "telephone_number": "210-407-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREADT",
        "first_name": "LINDSEY",
        "middle_name": "RAUSCH",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rylin31@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 Westcourt Ln",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782571373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dept of Assistive & Rehab Serv - San Antonio Field Headquarters
• Dept of Vertans Affairs
• Jarred Deptawa, M.A., BCBA, LBA
• Jane Louise Derby, RNC,MSN, CPNP, NNP
• Stephen Derdak, D.O.
• Derek H Elder LPC PLLC
• Valerie Deremer, PA
• Anthony Derencius, PA-C
• Tulamarie Alexies Derencius, P.A.
• Mohamed Derhab, MD

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.