Amy Renfrow, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004447A Issued in IN

Practice address

13327 Vitiano CT
Fort Wayne, IN 46845-8874

Phone

(260) 338-0876

Fax

(260) 484-3969

NPI assigned

Apr 24, 2008

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Goal Setters, Inc

  • Home Health Agency
  • Fort Wayne, IN
  • NPI 1528250479
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1649445230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13327 VITIANO CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458874",
            "telephone_number": "260-338-0876",
            "fax_number": "260-484-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13327 VITIANO CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458874",
            "telephone_number": "260-338-0876",
            "fax_number": "260-484-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFROW",
        "first_name": "AMY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004447A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "22004447A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS",
            "identifier": "200872140",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200872140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Faith Render-Dye, MA, LMHC
• Gabriela Renderos
• Zachary Thomas Renew, CRNA
• Renewal Therapy Services LLC
• Renewed Spirit LLC
• Melisa Kaye Renner, APRN, MSN, FNP-C
• Tammy S Renner, RN
• Amanda Renninger
• Elena Renninger, DPT
• Kevin D Renno, LMHC, MS

• Speech-Language Pathologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.