Kendra O'Riley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2016005475 Issued in MO

Practice address

1429 S Munn Ave
Maryville, MO 64468-2756

Phone

(660) 562-3255

NPI assigned

Mar 12, 2016

Last updated

Mar 30, 2016By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryville R-II

  • Local Education Agency (LEA)
  • Maryville, MO
  • NPI 1992857254
  NPD (past)

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1275994691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 S MUNN AVE",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682756",
            "telephone_number": "660-562-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 S MUNN AVE",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682756",
            "telephone_number": "660-562-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'RILEY",
        "first_name": "KENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-12",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2016005475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Health Services, Inc (Maryville High School Health Center)
• Northwest Health Services, Inc. (Maryville Middle School Health Center)
• Northwest Health Services, Inc. (Maryville Elementary School Health Center)
• Northwest Missouri State University (Northwest Missouri State)
• Northwest Missouri State University (NWMSU Wellness Center)
• Parkdale Manor Health & Rehabilitation LLC
• Parkdale Manor Incorporated (Parkdale Manor Care Center)
• Casey R. Parman, APN
• Mark Parra
• Rebecca Ann Pearce, ARNP

• Speech-Language Pathologist in Maryville, MO
• Providers in Maryville, MO by specialty
• Speech-Language Pathologist in Missouri

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

Verify at the official NPI Registry.