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Deactivated NPI 1033897277 Deactivated / Inactive NPI Female Practitioner

Anissa Renobato

Specialist/Technologist - Speech-Language Assistant • Addison, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Anissa Renobato has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2023
NPI Deactivation Date March 20, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Anissa Renobato was a registered Specialist/Technologist - Speech-Language Assistant practicing in Addison, TX. Throughout an active medical career spanning 1 years, Anissa Renobato provided care at the practice location at 4530 BELTWAY DR until profile deactivation on 2024-03-20.

Practice Location & Contact Primary Location

Practice Address

4530 Beltway Dr

Addison, TX 750013707

Telephone 2544985788
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Addison, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
29 Specialists

Practicing in Addison, TX (3463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License TX 41388

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Amarissa Raley

Specialist/Technologist - Speech-Language Assistant

NPI 1003506916
Kristin Borho , OTR

Occupational Therapist - Pediatrics

NPI 1023373206

Occupational Therapist Registered

Amanda Rollins , MS SLP

Speech-Language Pathologist

NPI 1073651469

MSSLP

Crista Gregoire

Speech-Language Pathologist

NPI 1104510221
Swarna Radhakrishnan , BS, SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1124613427

Bachelor of Science, Speech-Language Pathology Assistant

Kazima Wajahat

Speech-Language Pathologist

NPI 1134848351

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active July 07, 2023

NPI status registered as active in NPPES database

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Updated Practice Location July 07, 2023

Registered at 4530 BELTWAY DR, ADDISON, TX 750013707 (Tel: 2544985788)

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Updated Business Mailing Address July 07, 2023

Registered at 7700 UNDERWOOD DR, THE COLONY, TX 750561462 (Tel: 2544985788)

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Provider Name / Credentials Updated July 07, 2023

Recorded as ANISSA RENOBATO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2023

Specialist/Technologist (License #41388 in TX)

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Initial NPI Registration & Enumeration July 07, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033897277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2023
Last Update: July 07, 2023
Deactivation Date: March 20, 2024

Mailing Address

7700 Underwood Dr

The Colony, TX 750561462

Phone: 2544985788

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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