Individual provider Active NPI

Rene S Steven, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Greenfield, WI
National Provider Identifier
1477216737
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
612-154 Issued in WI
Practice address
8585 W Forest Home Ave Ste 200
Greenfield, WI 53228-3467
Phone
(414) 529-8500
Fax
(414) 529-8511
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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 612-154 WI Primary

Addresses

Primary practice location

8585 W Forest Home Ave Ste 200
Greenfield, WI 53228-3467

Mailing address

4930 S Desoto LN
New Berlin, WI 53151-7671
Phone (414) 331-7526

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
612-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Sinus Center, S.C. CurrentSince Oct 26, 2021 Accepting new patients

Locations

8585 W Forest Home Ave
Ste 200
Milwaukee, WI 53228
Phone (414) 529-8500

8585 W Forest Home Ave
Milwaukee, WI 53228
Phone (414) 427-5138

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1477216737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 S DESOTO LN",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517671",
            "telephone_number": "414-331-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 W FOREST HOME AVE STE 200",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532283467",
            "telephone_number": "414-529-8500",
            "fax_number": "414-529-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVEN",
        "first_name": "RENE",
        "middle_name": "S",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "612-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.