ICON INNOVATIONS LLC
NPI 1760540512
Speech-Language Pathologist in Albuquerque, NM

Active since December 05, 2006
9620 GIDDINGS AVE NE, ALBUQUERQUE, NM 87109(505) 856-0284 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Icon Innovations Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICON INNOVATIONS LLC (NPI 1760540512) is a healthcare organization registered as a speech-language pathologist in Albuquerque, New Mexico and active in the NPI registry since December 2006. The organization lists Dana Lynn Reilly, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1760540512
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameICON INNOVATIONS LLC
Location Address9620 GIDDINGS AVE NEAlbuquerque, NM 87109-6413
Mailing Address9620 Giddings Ave NeAlbuquerque, NM 87109-6413 · (505) 856-0284
Organization SubpartNo
Authorized OfficialDana Lynn ReillyManaging Member · (505) 856-0284
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1760540512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in NM · 1818
Definition
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.
9620 GIDDINGS AVE NE, Albuquerque, NM 87109

Other Identifiers 1

MedicaidD0226NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
9620 GIDDINGS AVE NE
ALBUQUERQUE, NM 87109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icon Innovations LLC's NPI number?

The NPI number for Icon Innovations LLC is 1760540512. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Icon Innovations LLC located?

Icon Innovations LLC is located at 9620 Giddings Ave NE, Albuquerque, NM 87109. The listed phone number is (505) 856-0284.

What is Icon Innovations LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Icon Innovations LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.