Kerri W Reynolds

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3623 Issued in LA

Practice address

1200 W 27TH Ave
Covington, LA 70433-1276

Phone

(985) 892-6204

NPI assigned

Mar 14, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1831847367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 27TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331276",
            "telephone_number": "985-892-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 27TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331276",
            "telephone_number": "985-892-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 E Temperance St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704333128",
            "country_code": "US",
            "telephone_number": "504-430-4913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KERRI",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "3623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Physical Therapy, LLC
• Renewal and Restoration, LLC
• Lorenzo Resendez Jr.
• Dawn Rester, LOTR
• Reviving Minds LLC
• Rhett Michael Reynolds, MD
• Briana Rhodes
• Richard B. Drude, Jr., M.D., Apmc
• Richard C Robertson Jr MD LLC
• Pamela E Richard, M.D.

• Speech-Language Pathologist in Covington, LA
• Providers in Covington, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.