Individual provider Active NPI

Renee A Werner, M.A.

  • Speech-Language Pathologist
  • San Ramon, CA
National Provider Identifier
1487815460
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7221 Issued in CA
Practice address
210 Porter Dr Ste 200
San Ramon, CA 94583-1525
Phone
(925) 743-3322
NPI assigned
Jun 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 7221 CA Primary

Addresses

Primary practice location

210 Porter Dr Ste 200
San Ramon, CA 94583-1525

Mailing address

210 Porter Dr
Ste 120
San Ramon, CA 94583-1525
Phone (925) 743-3322

Other practice location 1

60 Fenton St Ste 2
Livermore, CA 94550-4196
Phone (925) 743-3322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027000251 CA Practitioner - Qualified Speech Language Pathologist 4183847445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

60 Fenton St
Suite 2
Livermore, CA 94550-4196
Phone (925) 743-3322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Language Essentials Speech Pathology, Inc. Speech-Language Pathologist CurrentSince May 15, 2014 Accepting new patients

Locations

60 Fenton St
Ste 2
Livermore, CA 94550
Phone (925) 743-3322

210 Porter Dr
Ste 120
San Ramon, CA 94583
Phone (925) 394-4206

210 Porter Dr
Ste 200
San Ramon, CA 94583
Phone (925) 743-3322

2180 W Grant Line Rd
Ste 201
Tracy, CA 95377
Phone (209) 666-8099

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1487815460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PORTER DR",
            "address_2": "STE 120",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831525",
            "telephone_number": "925-743-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PORTER DR STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831525",
            "telephone_number": "925-743-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Fenton St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945504196",
            "country_code": "US",
            "telephone_number": "925-743-3322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNER",
        "first_name": "RENEE",
        "middle_name": "A",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "7221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.