Bridget Elise Rennard, MHS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2022027499 Issued in MO

Practice address

2 Harbor Bend CT Ste 102
Lake St Louis, MO 63367-1480

Phone

(636) 695-2075

NPI assigned

May 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1922745181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 CEDAR FIELD CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175727",
            "telephone_number": "314-598-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HARBOR BEND CT STE 102",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671480",
            "telephone_number": "636-695-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNARD",
        "first_name": "BRIDGET",
        "middle_name": "ELISE",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000941",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2022027499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Ray, M.S., CCC-SLP
• Melissa M Rebore
• Sandra A Redhage, RN-C, MSN, WHNP
• Karen Reeves
• Lisa Murray Reid, RD
• Brianne Nicole Rigg, RD, LD
• Krystina Roberts, NP
• Joseph Franklin Rodemann, MD
• Tara Rognan, D.O.
• Macie Roorda, M.ED., LPC

• Speech-Language Pathologist in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.