Brenda Lynn Renteria, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102405 Issued in TX

Practice address

2805 Fountain Plaza Blvd.
Edinburg, TX 78539

Phone

(956) 316-3627

Fax

(956) 381-9660

NPI assigned

Apr 9, 2007

Last updated

Oct 24, 2012By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1417070269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 FOUNTAIN PLAZA BLVD.",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-316-3627",
            "fax_number": "956-381-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 FOUNTAIN PLAZA BLVD.",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-316-3627",
            "fax_number": "956-381-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "BRENDA",
        "middle_name": "LYNN",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219141301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renaissance Women's Healthcare, PA
• Renal Treatment Centers Southeast LP (Edinburg Citrus Grove Dialysis)
• Evana Rendon, LPC
• Renovate Therapy Solutions
• Alexia Renteria
• Jasbeth Resendez
• Respicare Inc.
• Respiratory Services Inc (Progressive Diagnostics)
• Respite Care Services of Texas, LLC.
• Revita Motion Physical Therapy

• Speech-Language Pathologist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.