Rebecca Ray Buckner, M.S., CCC - SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104268 Issued in TX

Practice address

20111 FM 2100 Rd Ste 115
Crosby, TX 77532-3730

Phone

(832) 642-1889

NPI assigned

Jan 26, 2023

Last updated

Jun 28, 2023By the provider in NPPES

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parkinson's Speech Recovery, Inc.

  • Speech-Language Pathologist
  • Crosby, TX
  • NPI 1568152981
  Medicare reassignment NPD Authorized official
• Moore Custard LLC

  dba Moore Speech

  • Speech-Language Pathologist
  • Crosby, TX
  • NPI 1639869969
  NPD Authorized official

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1942916663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 SILVER MOON TRL",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775323503",
            "telephone_number": "832-642-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20111 FM 2100 RD STE 115",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775323730",
            "telephone_number": "832-642-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "REBECCA",
        "middle_name": "RAY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC - SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lashanta Lenelle Bryant, RPH
• Karlee Bulanek
• Robert Lucien Cadotte
• Isai Castillo, OPT
• Ceh Medical
• Center for Family & Preventive Medicine, PA

• Speech-Language Pathologist in Crosby, TX
• Providers in Crosby, 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 Jun 28, 2023; 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.