Active NPI
Amy Sue Renken, M.S.
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1487803862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 711
- Practice address
- 4239 Farnam St
Suite 509
Omaha, NE 68131-2868 - Phone
- (402) 551-7338
- NPI assigned
- Sep 10, 2008
- Last updated
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fremont Neurology Specialists LLC | Current | 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
- 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.
-
- Neurology Physician
- Fremont, NE
- NPI 1003670308
-
- Speech-Language Pathologist
- Fremont, NE
- NPI 1609713924
-
- Speech-Language Pathologist
- Omaha, NE
- NPI 1124199419
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.