Active NPI
Myrna Louise Parrott, CCC-SLP
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1376679217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-975
- Practice address
- 6200 W Oakey Blvd
Las Vegas, NV 89146-1103 - Phone
- (702) 870-5070
- NPI assigned
- Feb 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-975 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SP-975 | NV | Primary |
Addresses
Primary practice location
6200 W Oakey Blvd
Las Vegas, NV 89146-1103
Mailing address
269 Lucky Star St
Las Vegas, NV 89145-3927
Phone (702) 824-8946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151557 | Other | AZ | AHCCCS ID |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-975 | AZ | MD | Speech-Language Pathologist |
| SP-975 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226707200000",
"number": "1376679217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 LUCKY STAR ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891453927",
"telephone_number": "702-824-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 W OAKEY BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461103",
"telephone_number": "702-870-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARROTT",
"first_name": "MYRNA",
"middle_name": "LOUISE",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2008-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SP-975",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID",
"identifier": "151557",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.