Trystan Micah Hennessy

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

6502 Slide Rd Ste 204
Lubbock, TX 79424-1311

Phone

(806) 686-0429

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1902679384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 50TH ST APT 1205",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794141624",
            "telephone_number": "575-309-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 SLIDE RD STE 204",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241311",
            "telephone_number": "806-686-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "TRYSTAN",
        "middle_name": "MICAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Eric Hendricks, P.T.
• Briana Marie Hendrix, M.S., CCC-SLP
• Emmy Lu Henley, PHD, RDN, LD, CEDRD
• Marlee Henn, RN
• Muriel Ann Henneman, WHNP
• David Rutherford Henniger, LPC
• Amy Elizabeth Henning, D.O.
• Christopher Shaun Hennington, LPC-S
• Elizabeth Hennington, LPC
• Lauren Henriksen

• Speech-Language Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.