Active NPI
Renee Kathryn Vanderlan, M.S. CCC-SLP
- Speech-Language Pathologist
- Beaver Falls, NY
National Provider Identifier
1598047391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 021403
- Practice address
- 9508 Artz Road
Beaver Falls, NY 13305 - Phone
- (315) 346-1211
- NPI assigned
- Sep 16, 2011
- Last updated
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 021403 | NY | Primary |
Addresses
Primary practice location
9508 Artz Road
Beaver Falls, NY 13305
Mailing address
6589 River Rd
Lowville, NY 13367-2210
Phone (315) 271-9126
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021403 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1598047391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6589 RIVER RD",
"city": "LOWVILLE",
"state": "NY",
"postal_code": "133672210",
"telephone_number": "315-271-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9508 ARTZ ROAD",
"city": "BEAVER FALLS",
"state": "NY",
"postal_code": "13305",
"telephone_number": "315-346-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERLAN",
"first_name": "RENEE",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "021403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.