Active NPI
Kristen Reagor
- Speech-Language Pathologist
- Round Rock, TX
National Provider Identifier
1801273206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114030
- Practice address
- 3918 Bonnie LN
Round Rock, TX 78665-1171 - Phone
- (325) 423-4572
- NPI assigned
- May 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 114030 | TX | Primary |
Addresses
Primary practice location
3918 Bonnie LN
Round Rock, TX 78665-1171
Mailing address
3918 Bonnie LN
Round Rock, TX 78665-1171
Phone (325) 423-4572
Other names 1
- Kristen Reagor Smith
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 |
|---|---|---|---|
| 114030 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505347200000",
"number": "1801273206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3918 BONNIE LN",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651171",
"telephone_number": "325-423-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 BONNIE LN",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651171",
"telephone_number": "325-423-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAGOR",
"first_name": "KRISTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-05",
"last_updated": "2017-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "REAGOR SMITH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.