MRS. KATHERYN REAGAN (NPI# 1306990072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306990072 |
| Entity Type | Individual |
| Full Name | MRS. KATHERYN REAGAN |
| Credential | CCC-SLP |
| Practice Address |
3801 Schroer Road Valdosta GA 31605 |
| Practice Telephone | 2292443552 |
| Practice Fax Number | 2292447030 |
| Mailing Telephone | 2292443552 |
| Mailing Fax Number | 2292447030 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 005367 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD | 52171814 | 01 |
| GA | 212833316B | 05 |
| Street Address |
3801 SCHROER ROAD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881079242 | Callie George Bailie | Speech-Language Pathologist | 3801 Schroer Road, Valdosta, GA 31605 | 2015-07-28 |
| 1710308101 | Erin Russo | Speech-Language Pathologist | 3801 Schroer Road, Valdosta, GA 31605 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| 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 |
|---|---|---|---|---|
| 1982103420 | Gina T Grimes | Speech-Language Pathologist | 3825 Johnston Rd, Valdosta, GA 31601-2113 | 2018-02-11 |
| 1770092793 | Brittany Corbitt | Speech-Language Pathologist | 2941 N Ashley St Ste D, Valdosta, GA 31602-5946 | 2017-09-21 |
| 1497277453 | Macey Mcglamry Zeh | Speech-Language Pathologist | 700 N Oak St, Valdosta, GA 31601-4579 | 2017-07-12 |
| 1093268203 | Angelia Brooks | Speech-Language Pathologist | 2033 Woody Cir, Valdosta, GA 31601-0327 | 2016-07-25 |
| 1639525470 | Tyler Arnold | Speech-Language Pathologist | 4180 Bowen Way, Valdosta, GA 31605-6238 | 2016-05-11 |
| 1487029807 | Stephanie Donaldson | Speech-Language Pathologist | 2307 S Sherwood Dr, Valdosta, GA 31602-2269 | 2015-12-10 |
| 1750770970 | Amerimed Therapy | Speech-Language Pathologist | 2209 S Sherwood Dr, Valdosta, GA 31602-2234 | 2015-01-12 |
| 1396148714 | Laura Ellisa Odell | Speech-Language Pathologist | 304 Janet St Ste D, Valdosta, GA 31602-2643 | 2014-09-30 |
| 1396160800 | Christa Shaw | Speech-Language Pathologist | 2906 N Patterson St, Valdosta, GA 31602-1441 | 2014-02-20 |
| 1578984001 | Jenna Cole Roberts | Speech-Language Pathologist | 701 Baytree Rd Ste C, Valdosta, GA 31602-2881 | 2013-12-31 |
| Find all providers in VALDOSTA | ||||
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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.