Individual provider Active NPI

Rena Levi, MA, CCC-SLP

  • Speech-Language Pathologist
  • Ellicott City, MD
National Provider Identifier
1316584535
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05265 Issued in MD
Practice address
9011 Chevrolet Dr Ste 18
Ellicott City, MD 21042-4041
Phone
(443) 325-5542
NPI assigned
Dec 6, 2019
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 05265 MD Primary

Addresses

Primary practice location

9011 Chevrolet Dr Ste 18
Ellicott City, MD 21042-4041

Mailing address

9011 Chevrolet Dr Ste 18
Ellicott City, MD 21042-4041
Phone (443) 325-5542

Other identifiers 1

IdentifierTypeStateIssuer
05265OtherMDSPEECH LANGUAGE PATHOLOGY STATE LICENSE

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 Arts

State licenses

LicenseStateTypeSpecialty
05265MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
A Sound Beginning, LLC Speech-Language Pathologist PastSince Dec 9, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1316584535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 CHEVROLET DR STE 18",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424041",
            "telephone_number": "443-325-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 CHEVROLET DR STE 18",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424041",
            "telephone_number": "443-325-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVI",
        "first_name": "RENA",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGY STATE LICENSE",
            "identifier": "05265",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.