Individual provider Active NPI

Andrea Wrenn, MA

  • Speech-Language Pathologist
  • Union, KY
National Provider Identifier
1881093565
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPINP00194000 Issued in KY
Practice address
9255 US Highway 42
Union, KY 41091-7199
Phone
(859) 305-5173
Fax
(859) 572-0163
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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 SLPINP00194000 KY Primary

Addresses

Primary practice location

9255 US Highway 42
Union, KY 41091-7199

Mailing address

10120 Brandsteade CT
Union, KY 41091-8667
Phone (859) 512-4145

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other FOX REHABILITATION SERVICES KY LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012002772 KY Practitioner - Qualified Speech Language Pathologist 3678971249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Ky LLCGroup PAC ID 2961840038, 39 clinicians

Practice addresses (Care Compare)

Louisville, KY 40272
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLPINP00194000KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Jan 11, 2023 Accepting new patients
Fox Rehabilitation Services Ky LLC Speech-Language Pathologist CurrentSince Aug 1, 2024 Accepting new patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Jan 11, 2023 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Nov 1, 2021 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Speech-Language Pathologist CurrentSince Nov 1, 2021 Accepting new patients
Speech/Language Therapy Services LLC Speech-Language Pathologist PastSince May 31, 2020 Accepting new patients
Speech-Language Therapy Services Speech-Language Pathologist Past Accepting new patients
Kentucky Innovative Therapy Solutions, LLC PastSince Jan 15, 2023 Accepting new patients

Locations

6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794

9255 US Highway 42
Union, KY 41091
Phone (617) 468-6933

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

Organizations & group practices 8

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1881093565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 BRANDSTEADE CT",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410918667",
            "telephone_number": "859-512-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 US HIGHWAY 42",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410917199",
            "telephone_number": "859-305-5173",
            "fax_number": "859-572-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENN",
        "first_name": "ANDREA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "SLPINP00194000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES KY LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9251 Stonestreet Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402722858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.