Individual provider Active NPI

Tempra Tyrues, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, AL
National Provider Identifier
1124144167
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2431 Issued in AL
Practice address
1502 Main St
Greensboro, AL 36744-1552
Phone
(334) 624-3950
Fax
(334) 624-3960
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2431 AL Primary

Addresses

Primary practice location

1502 Main St
Greensboro, AL 36744-1552

Mailing address

PO Box 3519
Meridian, MS 39303-3519
Phone (601) 581-1191

Other identifiers 1

IdentifierTypeStateIssuer
009939086MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2431ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope LLC Speech-Language Pathologist PastSince Jul 1, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1124144167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3519",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393033519",
            "telephone_number": "601-581-1191",
            "fax_number": "888-501-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MAIN ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367441552",
            "telephone_number": "334-624-3950",
            "fax_number": "334-624-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRUES",
        "first_name": "TEMPRA",
        "name_prefix": "Mrs.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939086",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.