Monica S Fouquet-Tyler, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2900 Issued in KS

Practice address

4921 E 21St N
Wichita, KS 67208-1602

Phone

(316) 381-3204

Fax

(316) 681-0541

NPI assigned

May 1, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Move2Play Pediatric Physical Therapy

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1396200663

  Speech-Language Pathologist

  NPD
• Erin Is Hope Foundation Inc

  • Speech-Language Pathologist
  • Wichita, KS
  • NPI 1780638999
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1740401686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 E 37TH ST N STE 201",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262003",
            "telephone_number": "166-553-4033",
            "fax_number": "316-267-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 E 21ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081602",
            "telephone_number": "316-381-3204",
            "fax_number": "316-681-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUQUET-TYLER",
        "first_name": "MONICA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000002691",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://move2playphysicaltherapy.com/",
            "affiliation": "N",
            "address_1": "9229 E 37th St N Ste 201",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672262003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Namie Fotion
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• Deidra I Fountain, LMSW
• Mariann Fountain
• Kristina Fouquet, LMSW
• Four Branches Therapy & Wellness, LLC
• Four Chambers Emergency Physicians, LLC
• Samantha Fouse
• Annah Petek Baykal Fowler, MD

• Speech-Language Pathologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.