Individual provider Active NPI

Kendra Nichole Meyer

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1891384863
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117748 Issued in TX
Practice address
14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856
Phone
(866) 919-3240
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 117748 TX Primary

Addresses

Primary practice location

14651 Dallas Pkwy Ste 200
Dallas, TX 75254-8856

Mailing address

1013 S Monroe St Unit a
MC Gregor, TX 76657-2371
Phone (254) 709-6359

Other practice location 1

1013 S Monroe St Unit A
Mc Gregor, TX 76657-2371
Phone (254) 709-6359

Other names 1

  • Kendra Nichole Pratt Other name

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
117748TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1891384863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 S MONROE ST UNIT A",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766572371",
            "telephone_number": "254-709-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548856",
            "telephone_number": "866-919-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 S Monroe St Unit A",
            "address_purpose": "LOCATION",
            "city": "Mc Gregor",
            "state": "TX",
            "postal_code": "766572371",
            "country_code": "US",
            "telephone_number": "254-709-6359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KENDRA",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "PRATT",
            "middle_name": "NICHOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.