Active NPI
Renee Ann Reszel, M.S.
- Speech-Language Pathologist
- Mount Pleasant, WI
National Provider Identifier
1285040121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3996-154
- Practice address
- 6233 Durand Ave
Suite 102-3
Mount Pleasant, WI 53406-4961 - Phone
- (262) 456-2384
- Fax
- (262) 456-2387
- NPI assigned
- Jul 10, 2014
- Last updated
- Jul 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3996-154 | WI | Primary |
Addresses
Primary practice location
6233 Durand Ave
Suite 102-3
Mount Pleasant, WI 53406-4961
Mailing address
800 Emerson Ave
South Milwaukee, WI 53172-1706
Phone (414) 507-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144664293 | Medicaid | WI |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3996-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Playroom, Inc | Speech-Language Pathologist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Mount Pleasant, WI
- NPI 1144664293
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1285040121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 EMERSON AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531721706",
"telephone_number": "414-507-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6233 DURAND AVE",
"address_2": "SUITE 102-3",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534064961",
"telephone_number": "262-456-2384",
"fax_number": "262-456-2387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESZEL",
"first_name": "RENEE",
"middle_name": "ANN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-10",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "3996-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144664293",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.