Active NPI
Kyla Tree
- Speech-Language Pathologist
- Springfield, MO
National Provider Identifier
1144765207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2016044234
- Practice address
- 3023 S Fort Ave
Suite B
Springfield, MO 65807-4272 - Phone
- (417) 890-4656
- Fax
- (417) 708-0889
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2016044234 | MO | Primary |
Addresses
Primary practice location
3023 S Fort Ave
Suite B
Springfield, MO 65807-4272
Mailing address
3023 S Fort Ave
Suite B
Springfield, MO 65807-4272
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016044234 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1144765207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 S FORT AVE",
"address_2": "SUITE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 S FORT AVE",
"address_2": "SUITE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074272",
"telephone_number": "417-890-4656",
"fax_number": "417-708-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREE",
"first_name": "KYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2016044234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.