Tara Suzanne Wyse, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4877 Issued in OK

Practice address

2244 E Shawnee Byp
Muskogee, OK 74403-1446

Phone

(918) 684-9999

Fax

(888) 663-4223

NPI assigned

Oct 25, 2016

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

Other identifiers 1

Other names 1

• Miss Tara Suzanne Piguet Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Access 2Healthcare Solutions

  • Physical Therapist
  • Muskogee, OK
  • NPI 1205285152
  NPD (past)

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1174075261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 E SHAWNEE BYP",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031446",
            "telephone_number": "918-684-9999",
            "fax_number": "888-663-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 E SHAWNEE BYP",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031446",
            "telephone_number": "918-684-9999",
            "fax_number": "888-663-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSE",
        "first_name": "TARA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200823950A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "a2hs@a2hs.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2244 E Shawnee Byp",
            "city": "Muskogee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744031446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PIGUET",
            "middle_name": "SUZANNE",
            "prefix": "MISS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tammy Lynn Woods
• Ashley Nacole Woodworth
• Lisa Gay Woodworth, APRN
• Katherine Marie Worley, PT, DPT
• Anita Marie Wright, LMT
• Whitney Ann Yaffe, MS RD/LD
• Linda Jean Yarbrough
• Ananda V Yarrozu, M.D.
• Aruna Latha Yarrozu, M.D.
• Karla Sue Yazel-James, MS

• Speech-Language Pathologist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.