Individual provider Active NPI

Janey Osborne Reid, CCC-SLP

  • Speech-Language Pathologist
  • Johnson City, TN
National Provider Identifier
1992103147
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4520 Issued in TN
Practice address
1319 Sunset Dr Ste 102
Johnson City, TN 37604-7907
Phone
(240) 446-6323
Fax
(423) 328-8662
NPI assigned
Dec 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4520 TN Primary

Addresses

Primary practice location

1319 Sunset Dr Ste 102
Johnson City, TN 37604-7907

Mailing address

PO Box 191
Johnson City, TN 37605-0191
Phone (240) 446-6323

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
4520TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mini Miracles Pediatric Therapy, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1992103147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376050191",
            "telephone_number": "240-446-6323",
            "fax_number": "423-328-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SUNSET DR STE 102",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047907",
            "telephone_number": "240-446-6323",
            "fax_number": "423-328-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE REID",
        "first_name": "JANEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.