Renee C Outlaw, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60099189 Issued in WA

Practice address

611 Grand Blvd
Vancouver, WA 98661-4918

Phone

(360) 696-6525

Fax

(360) 418-0418

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• School for the Deaf

  • Local Education Agency (LEA)
  • Vancouver, WA
  • NPI 1629172374
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1225101645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614918",
            "telephone_number": "360-696-6525",
            "fax_number": "702-737-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614918",
            "telephone_number": "360-696-6525",
            "fax_number": "360-418-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "RENEE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60099189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508237",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara Otterstad, MHP
• Felicity Ottis, MOTR/L
• Greg Brian Otto, D.M.D.
• Nicole Marie Ouattara, LMP
• Michelle Lynn Oury, M.S.
• Carrie Ouverson
• Katherine Amara Ouzounian, APRN, FNP-C
• Susan D Overand, LMP
• Ariel Overton, AAC
• Kimberly May Overton, MD

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.