Iris Susan Reeves, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10764 Issued in TX

Practice address

105 Westland St
San Angelo, TX 76901-3051

Phone

(325) 340-4020

Fax

(325) 617-7809

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Susan Reeves Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Reeves Rehab

  • Speech-Language Pathologist
  • San Angelo, TX
  • NPI 1396297776
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1952479040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTLAND ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013051",
            "telephone_number": "325-340-4020",
            "fax_number": "325-617-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTLAND ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013051",
            "telephone_number": "325-340-4020",
            "fax_number": "325-617-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "IRIS",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5524",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "10764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004958702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "REEVES",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amber Kay Rees, RD
• Ilene L Rees, D.D.S., M.S.
• Kenneth Anderson Rees, D.M.D.
• Reeves Rehab
• Reeves Rehab
• Richeona Reeves, OTR/L
• Regency IHS of San Angelo LLC San Angelo Nursing and Rehab
• Regional Cancer Treatment Center LTD
• Regional Employee Assistance Program Inc
• Regional Employee Assistance Program Inc

• All providers in San Angelo, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.