Molly Anne Reider, MA CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-2095 Issued in ID

Practice address

207 W Georgia Ave
Suite 150
Nampa, ID 83686-3024

Phone

(208) 489-5700

Fax

(208) 489-4077

NPI assigned

Jun 6, 2013

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1982042495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12887 W ELMSPRING ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131617",
            "telephone_number": "208-995-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W GEORGIA AVE",
            "address_2": "SUITE 150",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836863024",
            "telephone_number": "208-489-5700",
            "fax_number": "208-489-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDER",
        "first_name": "MOLLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-2095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Reese, D.O.
• Taryn L Reeve, PHARMD
• Kierra E Regalado, IS
• Regenesis Health Centre Inc.
• Regional Physician Services of Idaho, PC
• Reidinger Chiropractic (True North Chiropractic and Wellness)
• Zachary Haas Reidinger, DC
• Shawn Reiling, LMSW
• Rosie Delgadillo Reilley, LCPC
• Jeffrey L Reimers, PA

• Speech-Language Pathologist in Nampa, ID
• Providers in Nampa, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.