Individual provider Active NPI

Amy Sue Renken, M.S.

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1487803862
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
711 Issued in NE
Practice address
4239 Farnam St
Suite 509
Omaha, NE 68131-2868
Phone
(402) 551-7338
NPI assigned
Sep 10, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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 711 NE Primary

Addresses

Primary practice location

4239 Farnam St
Suite 509
Omaha, NE 68131-2868

Mailing address

16425 Olive St
Omaha, NE 68136-2083
Phone (402) 895-4858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220105002993 NE Practitioner - Qualified Speech Language Pathologist 7911398714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
711NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Neurology Specialists LLC CurrentSince Jan 5, 2026 Accepting new patients
Amy Renken LLC Speech-Language Pathologist Current Accepting new patients
Laboratory of Speech and Language Disorders, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

2735 N Clarkson St
Ste 1
Fremont, NE 68025
Phone (402) 727-7029

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400353

Organizations & group practices 3

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1487803862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16425 OLIVE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681362083",
            "telephone_number": "402-895-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST",
            "address_2": "SUITE 509",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312868",
            "telephone_number": "402-551-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKEN",
        "first_name": "AMY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.