Kayla O'Meara

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

528681 Issued in MN

Practice address

904 6TH Avenue CT NE
Isanti, MN 55040-3208

Phone

(763) 444-8700

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Therapy Associates Inc

  • Speech-Language Pathologist
  • Isanti, MN
  • NPI 1558418012
  NPD
• Therapy Associates, Inc.

  • Speech-Language Pathologist
  • Isanti, MN
  • NPI 1366993412
  NPD (past)

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1346028982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 6TH AVENUE CT NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403208",
            "telephone_number": "763-444-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 6TH AVENUE CT NE",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403208",
            "telephone_number": "763-444-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MEARA",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528681",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Leigh Moore, MASSAGE THERAPIST
• Megan K Mork
• Brett David Mortenson, D.C.
• Nicole Nassif
• Next Level Care LLC
• Ohana Chiropractic and Wellness, PLLC
• Britt Prokop Olean, MSW, LICSW
• Jennifer Lynn Olson
• Brian Scott Alen Page
• Roni Dilane Pagning

• Speech-Language Pathologist in Isanti, MN
• Providers in Isanti, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.