Renae Luke, MHS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2014008544 Issued in MO

Practice address

200 N Dewey Street
Maryville, MO 64468-8323

Phone

(660) 853-8593

NPI assigned

Mar 29, 2017

Sex

Female

Sole proprietor

Yes

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

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

• Luke Therapy Services LLC

  • Hearing and Speech Clinic/Center
  • Maryville, MO
  • NPI 1306378468
  NPD (past) Authorized official

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1972035038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N DEWEY STREET",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "64468",
            "telephone_number": "660-853-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N DEWEY STREET",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644688323",
            "telephone_number": "660-853-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "RENAE",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2014008544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan P Long, MA, CCC-SLP
• Losh Optometry LLC
• Ryan K Losh, O.D.
• Luke Therapy Services LLC
• Leslie Dale Luke, RNC FNP WHNP
• Janet Luzmoor, M.S., M.A., PLPC
• M Rogers Inc & Subsidiary (Rogers Pharmacy)
• M Rogers Inc & Subsidiary (Rogers Home Medical Equipment)
• Eric Maass, D.O.
• Suzanne Renee Martell, NP

• Speech-Language Pathologist in Maryville, MO
• Providers in Maryville, 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 Mar 29, 2017; 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.