Active NPI
Jody Reynolds, M.A. CCC-SLP
- Speech-Language Pathologist
- Ozark, MO
National Provider Identifier
1871786145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114398
- Practice address
- 6808 N Shadywood Dr
Ozark, MO 65721-5874 - Phone
- (417) 830-6053
- Fax
- (417) 582-0050
- NPI assigned
- Aug 21, 2007
- 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 | 114398 | MO | Primary |
Addresses
Primary practice location
6808 N Shadywood Dr
Ozark, MO 65721-5874
Mailing address
6808 N Shadywood Dr
Ozark, MO 65721-5874
Phone (417) 830-6053
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114398 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1871786145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6808 N SHADYWOOD DR",
"city": "OZARK",
"state": "MO",
"postal_code": "657215874",
"telephone_number": "417-830-6053",
"fax_number": "417-582-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6808 N SHADYWOOD DR",
"city": "OZARK",
"state": "MO",
"postal_code": "657215874",
"telephone_number": "417-830-6053",
"fax_number": "417-582-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JODY",
"name_prefix": "Ms.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "114398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, MO
- Regional Services (The Clinic at Walmart Operated by Coxhealth Store # 379)
- Regional Services (Coxhealth Ozark Pediatrics)
- Regional Services (Coxhealth School Based Telemedicine)
- Renew Medical Group of Missouri
- Retirement at Century Pines Inc. (Century Pines Assisted Living)
- Bridget Devota Richards, MSW, LCSW
- Megan Elizabeth Riley, DO
- Riverpointe Dental Care-David a. Struble, D.D.S., P.C.
- Riverside Behavioral Health
- Amy Deann Roberts, R.D.H.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.