Individual provider Active NPI

Taylor Anne Myers, AUD, CCC-A

  • Audiologist
  • College Station, TX
National Provider Identifier
1477121481
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81433 Issued in TX
Practice address
1730 Birmingham Rd
College Station, TX 77845-4063
Phone
(979) 693-7419
NPI assigned
Jun 15, 2021
Reactivated
Apr 27, 2022
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81433 TX Primary

Addresses

Primary practice location

1730 Birmingham Rd
College Station, TX 77845-4063

Mailing address

1730 Birmingham Rd
College Station, TX 77845-4063
Phone (979) 693-7419

Other practice location 1

2 Saint Marks Pl Ste 108
LA Grange, TX 78945-1240
Phone (979) 693-7419

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
81433TXMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1477121481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BIRMINGHAM RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454063",
            "telephone_number": "979-693-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 BIRMINGHAM RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454063",
            "telephone_number": "979-693-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Saint Marks Pl Ste 108",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "TX",
            "postal_code": "789451240",
            "country_code": "US",
            "telephone_number": "979-693-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TAYLOR",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "deactivation_date": "2021-09-13",
        "reactivation_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.