MS. JESSICA B REYNOLDS (NPI# 1184759003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184759003 |
| Entity Type | Individual |
| Full Name | MS. JESSICA B REYNOLDS |
| Credential | MS CCC SLP |
| Practice Address |
750 E Highway 22 Centralia MO 65240-1146 |
| Practice Telephone | 5736823015 |
| Practice Fax Number | 5736823015 |
| Mailing Telephone | 5736823015 |
| Mailing Fax Number | 5736823015 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2004020295 | MO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 469269310 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952793663 | Jessica Reynolds | Registered Nurse | 2645 N Walnut Ave, Tucson, AZ 85712-1827 | 2015-03-04 |
| 1538587670 | Jessica Alyse Reynolds | Speech-Language Pathologist | 1549 Ravana Dr, Orlando, FL 32822-8029 | 2014-04-05 |
| 1013226224 | Jessica Lynn Reynolds | Occupational Therapist | 56 Country Club Dr, Mount Marion, NY 12456 | 2010-10-05 |
| 1194336685 | Jessica Reynolds | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-08-10 |
| 1396375598 | Jessica S Reynolds | Nurse Practitioner | 1011 Main St Ste 140, Indianapolis, IN 46224-6980 | 2020-01-16 |
| 1205475373 | Jessica Ann Reynolds | Registered Nurse | 199 S Central Ave, Columbus, OH 43223-1301 | 2020-01-06 |
| 1285198580 | Jessica Reynolds | Behavior Technician | 17b Caledon Ct, Greenville, SC 29615-3170 | 2019-01-31 |
| 1265907737 | Jessica Reynolds | Counselor | 46 Lincoln Ave, Poughkeepsie, NY 12601-4518 | 2018-10-10 |
| 1164901575 | Jessica H Reynolds | Physical Medicine & Rehabilitation | 843 Wake Forest Business Park Ste 110, Wake Forest, NC 27587-6578 | 2018-08-08 |
| 1518443217 | Jessica Reynolds | Social Worker | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2018-07-16 |
| Street Address |
750 E HIGHWAY 22 |
| City | CENTRALIA |
| State | MO |
| Zip Code | 65240-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328953 | Health Services Administration, Inc | Skilled Nursing Facility | 750 E Highway 22, Centralia, MO 65240-1146 | 2005-07-07 |
| 1407281405 | Rehab Care | Skilled Nursing Facility | 750 E Highway 22, Centralia, MO 65240-1146 | 2013-09-09 |
| 1295019545 | Americare At Heritage Hall Nursing Center, LLC | Skilled Nursing Facility | 750 E Highway 22, Centralia, MO 65240-1146 | 2011-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902146442 | Sarah Elizabeth Hall | Counselor | 318 W Barnes St, Centralia, MO 65240 | 2013-02-20 |
| 1528265725 | Paulus E Lawson Jr. | Dentist | 120 North Allen Street, Centralia, MO 65240 | 2007-06-29 |
| 1245348572 | Lori Carol Brown | Chiropractor | 201 W Switzler Street, Suite 1, Centralia, MO 65240 | 2006-08-27 |
| 1790126399 | Andrea Young Willer | Nurse Practitioner | 1021 E Highway 22, Centralia, MO 65240 | 2013-07-11 |
| 1770637332 | Brown Chiropractic Wellness Center | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2007-01-22 |
| 1962881136 | Lezlie David | Massage Therapist | 201 W Switzler St, Ste. #1, Centralia, MO 65240-1035 | 2015-05-21 |
| 1457687386 | Brown Chiropractic Wellness Center & Spa, LLC | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2009-10-28 |
| 1356675672 | Melanie Dawn Miller Morgret | Massage Therapist | 201 W Switzler St, Centralia, MO 65240-1035 | 2009-09-21 |
| 1518139542 | Mary Beth Gehringer | Massage Therapist | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2008-03-31 |
| 1689880239 | Bristol Care, Inc. | Assisted Living Facility | 610 N Jefferson St, Centralia, MO 65240-1178 | 2007-05-14 |
| Find all providers in zip 65240 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1255858742 | Suzanne Joy Overstreet | Speech-Language Pathologist | 1100 S Locust St, Centralia, IL 62801-4710 | 2017-08-24 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1912422395 | Samantha Laratonda | Speech-Language Pathologist | 400 W Summa St, Centralia, WA 98531-2324 | 2017-08-07 |
| 1932640661 | Ann Munson | Speech-Language Pathologist | 2320 Borst Ave, Centralia, WA 98531-1410 | 2017-03-14 |
| 1518409614 | Kristen Leigh Johnson | Speech-Language Pathologist | 1620 Harrison Ave, Centralia, WA 98531-4533 | 2016-11-07 |
| 1831320811 | Sandra Kay Denbow | Speech-Language Pathologist | 635 S Jefferson St, Centralia, MO 65240-1624 | 2009-08-07 |
| 1326207598 | Lisa Marie Mason | Speech-Language Pathologist | 1305 Alexander Street, Riverside Nursing and Rehabilitation Center, Centralia, WA 98531 | 2008-06-03 |
| 1285838813 | Brianna Chantel Kauanoe | Speech-Language Pathologist | 1820 Cooks Hill Rd, Centralia, WA 98531 | 2007-06-14 |
| 1457832644 | Kayla Rose Devine | Speech-Language Pathologist | 2320 Borst Ave, Centralia, WA 98531-1410 | 2018-08-24 |
| Find all providers in CENTRALIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.