Individual provider Active NPI

Renee Lynn Ediger, MA CCC-SLP

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1619978483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2001 Issued in KS
Practice address
310 S Hillside St
Wichita, KS 67211-2129
Phone
(316) 684-2838
Fax
(316) 684-3326
NPI assigned
Aug 3, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2001 KS Primary

Addresses

Primary practice location

310 S Hillside St
Wichita, KS 67211-2129

Mailing address

818 N Emporia St
Ste 200
Wichita, KS 67214-3729
Phone (316) 263-0296

Other identifiers 1

IdentifierTypeStateIssuer
115498OtherKSBCBS OF KANSAS

Other names 1

  • Renee Lynn Loewen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718000373 KS Practitioner - Qualified Speech Language Pathologist 2860618360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Surgical Specialists PAGroup PAC ID 6507840634, 60 clinicians

Practice addresses (Care Compare)

818 N Emporia St
Suite 200
Wichita, KS 67214-3726
Phone (316) 263-0296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Surgical Specialists PA CurrentSince Jan 1, 2014 Accepting new patients

Locations

10090 E Shannon Woods Cir
Wichita, KS 67226
Phone (316) 684-2838

310 S Hillside St
Wichita, KS 67211
Phone (316) 264-3505

3460 N Ridge Rd
Ste 120
Wichita, KS 67205
Phone (316) 272-0800

3840 N Ridge Rd
Wichita, KS 67205
Phone (316) 260-4441

551 N Hillside St
Ste 201
Wichita, KS 67214
Phone (316) 263-0296

818 N Emporia St
Ste 200
Wichita, KS 67214
Phone (316) 263-0296

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619978483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N EMPORIA ST",
            "address_2": "STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143729",
            "telephone_number": "316-263-0296",
            "fax_number": "316-684-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112129",
            "telephone_number": "316-684-2838",
            "fax_number": "316-684-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDIGER",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA  CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "115498",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LOEWEN",
            "middle_name": "LYNN",
            "credential": "MA CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.