Individual provider Active NPI

Renee A Clinard-Pyles, M.S CCC-SLP

  • Speech-Language Pathologist
  • Somerset, KY
National Provider Identifier
1225152994
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
140489 Issued in KY
Practice address
211 Woodside Dr
Somerset, KY 42503-4965
Phone
(606) 219-2118
Fax
(606) 425-4774
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3286 KY
Speech-Language Pathologist 235Z00000X 140489 KY Primary

Addresses

Primary practice location

211 Woodside Dr
Somerset, KY 42503-4965

Mailing address

211 Woodside Dr
Somerset, KY 42503-4965
Phone (606) 219-2118

Other practice location 1

125 Neals Dr
Somerset, KY 42503-6819
Phone (606) 219-2118

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
140489KYMDSpeech-Language Pathologist
3286KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Communikids, LLC CurrentSince Feb 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1225152994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WOODSIDE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034965",
            "telephone_number": "606-219-2118",
            "fax_number": "606-425-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WOODSIDE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034965",
            "telephone_number": "606-219-2118",
            "fax_number": "606-425-4774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Neals Dr",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425036819",
            "country_code": "US",
            "telephone_number": "606-219-2118",
            "fax_number": "606-425-4774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINARD-PYLES",
        "first_name": "RENEE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3286",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "140489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.