Tamara McReynolds, S.L.P

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3631-154 Issued in WI

Practice address

700 S Fremont St
Prairie Du Chien, WI 53821-2331

Phone

(608) 326-1434

Fax

(608) 326-1435

NPI assigned

May 16, 2012

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

State licenses

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1992064562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 HAWTHORNE DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134706",
            "telephone_number": "319-483-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S FREMONT ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212331",
            "telephone_number": "608-326-1434",
            "fax_number": "608-326-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "TAMARA",
        "credential": "S.L.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3631-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Martin, MSW, CAPSW
• Kevin Dale Mathis, PHARMD
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Mayo Clinic Health System - Franciscan Healthcare Prairie du Chien)
• Jeffrey McDonald
• Jennifer A McLellan, M.D.
• Christopher J Mees, MD
• Michelle Mertens-Dodgen, ARNP
• Kristen Mezera, PT, DPT
• Laura Elizabeth Moerer
• Shelby Moose, RD

• Speech-Language Pathologist in Prairie Du Chien, WI
• Providers in Prairie Du Chien, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.