Active NPI
Reneah Britain Walters, SLP-ASSISTANT
- Speech-Language Assistant
- Beatrice, NE
National Provider Identifier
1366177370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 41841
- Practice address
- 320 N 5TH St
Beatrice, NE 68310-2957 - Phone
- (469) 203-2799
- NPI assigned
- Jul 22, 2022
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 2355S0801X | 41841 | TX | Primary |
Addresses
Primary practice location
320 N 5TH St
Beatrice, NE 68310-2957
Mailing address
6833 Sandshell Blvd
Fort Worth, TX 76137-7570
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41841 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1366177370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6833 SANDSHELL BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761377570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N 5TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683102957",
"telephone_number": "469-203-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "RENEAH",
"middle_name": "BRITAIN",
"credential": "SLP-ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "41841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.