Brooke Myrick

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

200438 Issued in AR

Practice address

5532 JFK Blvd
North Little Rock, AR 72116-6708

Phone

(501) 588-3211

Fax

(501) 353-2599

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allied Therapy and Consulting Services, PA

  • Specialist
  • North Little Rock, AR
  • NPI 1134185937
  Medicare reassignment NPD
• Beyond Boundaries, Inc

  • Physical Therapist
  • Ward, AR
  • NPI 1134355043

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1265905715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211",
            "fax_number": "501-353-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211",
            "fax_number": "501-353-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Wilson Loop",
            "address_purpose": "LOCATION",
            "city": "Ward",
            "state": "AR",
            "postal_code": "721768656",
            "country_code": "US",
            "telephone_number": "501-588-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "200412",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "200438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231704721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raed S. Musallam, D.D.S.
• Elizabeth Musick, MS, RDN, LD
• Jobeth Musick, LCSW
• My Hearing Centers, LLC
• Monique Ann Myers, LCSW
• Trisha M Naiko
• Huma Naseem
• Jennifer Leigh Nash, BCBA
• Ralph Chris Nash, LCSW
• Ralph Lukas Nash

• Speech-Language Pathologist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.