Active NPI
Katherine Ann Myers, MA, CCC-SLP
- Speech-Language Pathologist
- Mineral Wells, TX
National Provider Identifier
1598436370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17450
- Practice address
- 906 SW 5TH Ave
Mineral Wells, TX 76067-8445 - Phone
- (940) 325-6404
- Fax
- (940) 325-1989
- NPI assigned
- Sep 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17450 | TX | Primary |
Addresses
Primary practice location
906 SW 5TH Ave
Mineral Wells, TX 76067-8445
Mailing address
906 SW 5TH Ave
Mineral Wells, TX 76067-8445
Phone (940) 325-6404
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17450 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1598436370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 SW 5TH AVE",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760678445",
"telephone_number": "940-325-6404",
"fax_number": "940-325-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 SW 5TH AVE",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760678445",
"telephone_number": "940-325-6404",
"fax_number": "940-325-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "KATHERINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "17450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mineral Wells, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.