Wyanetha Renner, Ma,CCC/SLP, PA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6648 Issued in FL

Legal business name

WYANETHA RENNER, MA,CCC/SLP, PA

Practice address

22 Lake Beauty Dr
Ste 304
Orlando, FL 32806-2037

Phone

(321) 303-4320

NPI assigned

May 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wyanetha Rennner, MA,CCC/SLP

Title

President

Phone

(321) 303-4320

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wyanetha Renner, CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1720067986
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1598025769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 CRANDON AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893382",
            "telephone_number": "321-303-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LAKE BEAUTY DR",
            "address_2": "STE 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062037",
            "telephone_number": "321-303-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANETHA RENNER, MA,CCC/SLP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "RENNNER",
        "authorized_official_first_name": "WYANETHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-303-4320",
        "authorized_official_credential": "MA,CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Wuestman
• Dakota Wulff, RN
• Eric Alan Wurst, MD
• Victoria M Wurster Ovalle, M.D.
• Corinna Wuschovius-Meyer
• Janeen Wyatt, LMHC
• Julie Wyatt, MASTERS
• Kathleen D Wyatt, SLP
• Godwin Dewayne Wyche II
• Marc A Wyckoff

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.