Teresa Leann Tyra, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-008242 Issued in IL

Practice address

275 Illinois State Univ
211 Rachel Cooper
Normal, IL 61790-0001

Phone

(309) 438-8641

Fax

(309) 438-5221

NPI assigned

Aug 2, 2012

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1407102940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ECKELMANN TAYLOR SPEECH AND HEARING CLINIC",
            "address_2": "CAMPUS BOX 4720",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617904720",
            "telephone_number": "309-438-8641",
            "fax_number": "309-438-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ILLINOIS STATE UNIV",
            "address_2": "211 RACHEL COOPER",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617900001",
            "telephone_number": "309-438-8641",
            "fax_number": "309-438-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRA",
        "first_name": "TERESA",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-008242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Elizabeth Tuggle, APRN
• Beth L Tumilty, DO
• Erica Turner, CRNA
• Casandra Twaddle, M.S. SLP
• Dawn Marie Tyler, NCC, LCPC, CCBT
• Motoko Ugajin, ATC
• Lola Oladini Umebuani, MD/MBA
• Matthew Simon Unger
• Unnati Upadhyay, MD
• Urohealth Institute, L.L.C.

• Speech-Language Pathologist in Normal, IL
• Providers in Normal, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.