Edyl Zarah Y Peck

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2327 Issued in NV

Practice address

3305 Sunnyvale Ave
Reno, NV 89509-5056

Phone

(775) 374-0497

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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 and National Provider Directory roles.

• Play on Words LLC

  • Speech-Language Pathologist
  • Reno, NV
  • NPI 1982263489
  Medicare reassignment NPD Authorized official
• Play on Words LLC

  • Behavior Analyst
  • Reno, NV
  • NPI 1164289286
  NPD Authorized official

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1831757707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 SUNNYVALE AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095056",
            "telephone_number": "775-374-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 SUNNYVALE AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095056",
            "telephone_number": "775-374-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "EDYL ZARAH",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Pearson, DVM
• Tiffany Pearson
• Peavine Podiatric Physicians,LLC
• Pebbles Psychiatry LLC
• Kristi Pebley
• Joel Peck, PT, DPT,
• Kayla L. Peck
• Lisa Renee Peck, PT
• Abhinand Venkata Peddada, MD
• Regina D Pedersen, PA-C

• Speech-Language Pathologist in Reno, NV
• Providers in Reno, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.