Active NPI
Tanis M Trenka, CCC-SLP
- Speech-Language Pathologist
- Bozeman, MT
National Provider Identifier
1548218852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1111
- Practice address
- 1122 E Main St
Suite 4
Bozeman, MT 59715-3887 - Phone
- (406) 570-9465
- Fax
- (406) 582-4148
- NPI assigned
- May 5, 2006
- 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 | 1111 | MT | Primary |
Addresses
Primary practice location
1122 E Main St
Suite 4
Bozeman, MT 59715-3887
Mailing address
11 Candlelight Drive
Bozeman, MT 59718-6076
Phone (406) 570-9465
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0535119 | Medicaid | MT | |
| 662480 | Other | MT | BCBS PRIVATE |
| 1548218852 | Other | MT | ALLEGIANCE BENEFIT PLAN MANAGEMENT, INC. |
| 0534922 | Medicaid | MT |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trenka Speech Language Services LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Pediatric Potentials | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Bozeman, MT
- NPI 1891089736
-
- Pediatric Occupational Therapist
- Bozeman, MT
- NPI 1861912792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1548218852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CANDLELIGHT DRIVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186076",
"telephone_number": "406-570-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 E MAIN ST",
"address_2": "SUITE 4",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153887",
"telephone_number": "406-570-9465",
"fax_number": "406-582-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENKA",
"first_name": "TANIS",
"middle_name": "M",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "1111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0535119",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PRIVATE",
"identifier": "662480",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLEGIANCE BENEFIT PLAN MANAGEMENT, INC.",
"identifier": "1548218852",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0534922",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.