Kylene Wenner, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30640 Issued in CA

Practice address

85-180 Ala Akau St
Waianae, HI 96792-2323

Phone

(808) 697-7110

NPI assigned

Dec 8, 2021

Last updated

Dec 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Speech Pathology of Hawaii LLC

  dba Speech Solutions

  • Rehabilitation Clinic/Center
  • Honolulu, HI
  • NPI 1356673727

  Speech-Language Pathologist

  Medicare reassignment NPD
• Therapy Solutions LLC

  • Rehabilitation Clinic/Center
  • Honolulu, HI
  • NPI 1104573237

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1609535426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857193706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85-180 ALA AKAU ST",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922323",
            "telephone_number": "808-697-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNER",
        "first_name": "KYLENE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Wallace
• Kimberly Sue Washington
• Mei Wah Akamu Watson, PSYD
• Amber Weber
• Maria Wells
• Maryellen P Werner
• Amanda Reneee West
• Kathleen N. Westbrook
• Malia E White, LMHC, CSAC
• Rachel C White, RD

• Speech-Language Pathologist in Waianae, HI
• Providers in Waianae, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.

Verify at the official NPI Registry.