Carolyn Coyne Maryan

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

400 Mine St.
Citadel School
Potosi, MO 63664

Phone

(573) 438-2472

Fax

(573) 436-0361

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1083017461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 BELLSTONE RD.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63119",
            "telephone_number": "314-322-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MINE ST.",
            "address_2": "CITADEL SCHOOL",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "63664",
            "telephone_number": "573-438-2472",
            "fax_number": "573-436-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYAN",
        "first_name": "CAROLYN",
        "middle_name": "COYNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kearns
• Shayne S Keddy, D.O.
• Emily Morgan Kelley, CPNP-PC
• Marianne Klemm, D.O.
• Edward William Lake, DDS
• Christopher Ryan Massey, MSW, LCSW
• Heather Renee Mathieson, PLPC
• Stephen McKown Matthews, D.D.S.
• Tiara Michele McCarthy
• Judith McCaul, PNP

• Speech-Language Assistant in Potosi, MO
• Providers in Potosi, MO by specialty
• Speech-Language Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.