Anna Brynac

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2017025246 Issued in MO

Practice address

105 SW Eagles Pkwy
Grain Valley, MO 64029-8512

Phone

(816) 265-1170

Fax

(816) 443-5692

NPI assigned

May 27, 2022

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)

Not enrolled

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.

• Cwo Enterprises

  • Pediatric Occupational Therapist
  • Grain Valley, MO
  • NPI 1841890340
  NPD

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1740929876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 N GALVIN RD",
            "city": "SIBLEY",
            "state": "MO",
            "postal_code": "640889552",
            "telephone_number": "816-984-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SW EAGLES PKWY",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298512",
            "telephone_number": "816-265-1170",
            "fax_number": "816-443-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYNAC",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017025246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysten Bowman
• Medea Elizabeth Bradberry, LCSW, LSCSW
• Bristol Care, Inc.
• Emma Brown, RBT
• Troy H Brown, PT
• Kaci Burke, MS, SMFT
• Danette Rae Butler, LPN
• Elaina Camerlynck
• Morgn Shae Canterbury
• Caring Hands Residential

• All providers in Grain Valley, MO
• Speech-Language Pathologist in Missouri

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