MS. STEPHANIE ELEAZAR REYES (NPI# 1972146447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972146447 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE ELEAZAR REYES |
| Credential | CCC-SLP |
| Practice Address |
1120 15th St Augusta GA 30912-0004 |
| Mailing Address |
2401 Willow Creek Ct W Augusta GA 30909-3777 |
| Practice Telephone | 7067216010 |
| Practice Fax Number | 7067219052 |
| Mailing Telephone | 3953317342 |
| Mailing Fax Number | 7067219052 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP008401 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992341184 | Stephanie Marie Reyes | Social Worker | 183 Hawk Ln, Kempner, TX 76539-5545 | 2019-11-21 |
| 1598726374 | Stephanie Reyes | Physical Therapist | 1939 Pleasanton Rd, San Antonio, TX 78221-1210 | 2006-03-31 |
| 1902411820 | Stephanie Ann Reyes | Registered Nurse | 3700 Washington St Ste 305, Hollywood, FL 33021-8249 | 2020-09-09 |
| 1265059208 | Stephanie Reyes | Rehabilitation Practitioner | 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 | 2020-06-25 |
| 1336781053 | Stephanie Reyes | Behavior Technician | 25115 Avenue Stanford Ste A100, Valencia, CA 91355-1290 | 2019-10-14 |
| 1003377714 | Stephanie Marie Reyes | Registered Nurse | 6600 E Ben White Blvd, Austin, TX 78741-7537 | 2019-03-26 |
| 1295232940 | Stephanie Lorraine Reyes | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2018-04-10 |
| 1528574167 | Stephanie Reyes | Behavior Technician | 7862 Red Mahogany Rd, Boynton Beach, FL 33437-7530 | 2017-12-19 |
| 1225481278 | Stephanie M Reyes | Marriage & Family Therapist | 762 Cypress St, San Dimas, CA 91773-3505 | 2016-07-14 |
| 1194185405 | Stephanie Reyes | Counselor | 3000 S College Ave Unit 202, Fort Collins, CO 80525-2558 | 2016-02-29 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| 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 |
|---|---|---|---|---|
| 1053963116 | Jenna Lynch | Speech-Language Pathologist | 11312 Sw Carmon Rd, Augusta, KS 67010-8627 | 2019-07-09 |
| 1013409226 | Haleigh Swierski Mahaffey | Speech-Language Pathologist | 3104 Skinner Mill Rd, Augusta, GA 30909-1968 | 2018-06-04 |
| 1639686033 | Lindsey Parks Martin | Speech-Language Pathologist | 1 7th St, Augusta, GA 30901-1328 | 2018-01-08 |
| 1518480318 | Kara Kriete | Speech-Language Pathologist | 1080 Rosland Cir, Augusta, GA 30909-9840 | 2017-07-24 |
| 1740638386 | Kendrall Graham | Speech-Language Pathologist | 752 Aumond Rd, Augusta, GA 30909-3256 | 2016-05-24 |
| 1114269487 | Terri Stutts Stewart | Speech-Language Pathologist | 1206 Sande Hill Pl, Augusta, GA 30909-0310 | 2013-03-25 |
| 1861734642 | Daydra Dee Cain | Speech-Language Pathologist | 1120 15th St # 6045, Augusta, GA 30912-0004 | 2013-03-20 |
| 1053665562 | Sara Thompson | Speech-Language Pathologist | 30 Old Winthrop Rd, Apt 206, Augusta, ME 04330-4946 | 2012-11-06 |
| 1578833646 | Dee Ann Debano-burns | Speech-Language Pathologist | 901 Lakepoint Drive, Augusta, KS 67010-2423 | 2012-01-06 |
| 1508134362 | Shannon M Woods | Speech-Language Pathologist | 2259 Cumming Rd, Augusta, GA 30904-6987 | 2011-12-08 |
| Find all providers in AUGUSTA | ||||
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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.