Active NPI
Megan Renner
- Speech-Language Pathologist
- Dallas, TX
National Provider Identifier
1114402229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 119657
- Practice address
- 12700 Hillcrest Rd Ste 107
Dallas, TX 75230-2033 - Phone
- (972) 387-2824
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Speech-Language Pathologist | 235Z00000X | 119657 | TX | Primary |
Addresses
Primary practice location
12700 Hillcrest Rd Ste 107
Dallas, TX 75230-2033
Mailing address
2730 Shadelands Dr BLDG 10
Walnut Creek, CA 94598-2538
Other practice location 1
2730 Shadelands Dr
Walnut Creek, CA 94598-2538
Phone (925) 849-8989
Other practice location 2
2730 Shadelands Dr
Walnut Creek, CA 94598-2538
Phone (925) 849-8989
Other practice location 3
2730 Shadelands Dr Bldg 10
Walnut Creek, CA 94598
Phone (925) 000-0000
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1114402229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 SHADELANDS DR BLDG 10",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 HILLCREST RD STE 107",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302033",
"telephone_number": "972-387-2824"
}
],
"practiceLocations": [
{
"address_1": "2730 Shadelands Dr",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945982538",
"country_code": "US",
"telephone_number": "925-849-8989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2730 Shadelands Dr",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945982538",
"country_code": "US",
"telephone_number": "925-849-8989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2730 Shadelands Dr Bldg 10",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "94598",
"country_code": "US",
"telephone_number": "925-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENNER",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "119657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.