Kathleen A Rennie, MA, CCC-SLP-L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL005067L Issued in PA

Practice address

136 East Ave
Erie, PA 16507-1842

Phone

(814) 453-7661

Fax

(814) 455-1132

NPI assigned

Apr 16, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

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.

• Dr Gertrude a Barber Center Inc

  • Clinic/Center
  • Erie, PA
  • NPI 1063571750

  Speech-Language Pathologist

  NPD (past)
• Dr Gertrude a Barber in Home Services Inc

  • Supports Brokerage Agency
  • Erie, PA
  • NPI 1215098421
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1982829073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 EAST AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071842",
            "telephone_number": "814-453-7661",
            "fax_number": "814-455-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 EAST AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071842",
            "telephone_number": "814-453-7661",
            "fax_number": "814-455-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNIE",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "MA, CCC-SLP-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL005067L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100964242 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE",
            "identifier": "RE1420046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kaye Reisinger, PA-C
• Jose R. Relampagos, M.D.
• Renal Care of Erie, LLC
• Renewed Strength Therapy Center, LLC
• Sarah Renna, MD
• Adam Julian Renshaw, DC
• Noah David Repko
• Resilience Counseling LLC
• Susan M Reslink
• Shelly Respecki

• All providers in Erie, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.