Kallie Renfus, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

8740 Orion PL Ste 110
Columbus, OH 43240-4063

Phone

(614) 734-7777

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Specialized Speech Technologies, Inc.

  • Speech-Language Pathologist
  • Columbus, OH
  • NPI 1629192612
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1144834755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 LIBERTY ST APT 7243",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155845",
            "telephone_number": "630-313-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 ORION PL STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404063",
            "telephone_number": "614-734-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFUS",
        "first_name": "KALLIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO SPEECH AND HEARING PROFESSIONAL LICENSE",
            "identifier": "SP.14069",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marla@specializedspeech.com",
            "affiliation": "N",
            "address_1": "8740 Orion Pl Ste 110",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432404063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John C. Reneau, MD, PHD
• Rebecca A. Reneker, APRN-CNP
• Renew and Recover Home Health Care LLC
• Renew Wellness LLC
• Renewed Healing Counseling and Consulting LLC
• Brooke Irene Rengers, MPH, MS, APRN-CNP
• Shalene Yvette Rengert
• Kayla Renicker
• Lisa Ann Renier, MSW, LSW
• Marietta Renne, LPC

• Speech-Language Pathologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.