Individual provider Active NPI

Meghan D Rearden, SLP

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1982891008
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPS487 Issued in AK
Practice address
161 Klevin St
Suite 103
Anchorage, AK 99508-1508
Phone
(907) 561-8060
Fax
(907) 563-3172
NPI assigned
Oct 2, 2007
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00004715 WA
Speech-Language Pathologist 235Z00000X SLPS487 AK Primary
Speech-Language Pathologist 235Z00000X SLP-SP-LIC-1269 MT

Addresses

Primary practice location

161 Klevin St
Suite 103
Anchorage, AK 99508-1508

Mailing address

PO Box 190675
Anchorage, AK 99519-0675
Phone (907) 282-4044

Other identifiers 1

IdentifierTypeStateIssuer
7018518MedicaidWA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLPS487AKMDSpeech-Language Pathologist
SLP-SP-LIC-1269MTMDSpeech-Language Pathologist
LL00004715WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Programs for Infants & Children, Inc Speech-Language Pathologist Past Accepting new patients
Programs for Infants and Children Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1982891008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190675",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995190675",
            "telephone_number": "907-282-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 KLEVIN ST",
            "address_2": "SUITE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081508",
            "telephone_number": "907-561-8060",
            "fax_number": "907-563-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDEN",
        "first_name": "MEGHAN",
        "middle_name": "D",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004715",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "SLPS487",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-1269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7018518",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.