Individual provider Active NPI

Jamie Murry, MA, CCC-SLP

  • Speech-Language Pathologist
  • Liberty, MO
National Provider Identifier
1962891655
Registry record updated Jan 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2005020459 Issued in MO
Practice address
2201 Glenn Hendren Dr
Liberty, MO 64068-3375
Phone
(816) 792-2211
NPI assigned
Jan 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2005020459 MO Primary
Speech-Language Pathologist 235Z00000X 2722 KS

Addresses

Primary practice location

2201 Glenn Hendren Dr
Liberty, MO 64068-3375

Mailing address

778 Reese St
Liberty, MO 64068-3092
Phone (785) 218-0403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104000710 MO Practitioner - Qualified Speech Language Pathologist 6709376288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

Practice addresses (Care Compare)

2900 NE Kendallwood Pkwy
Gladstone, MO 64119-1858
Phone (816) 249-1650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2722KSMDSpeech-Language Pathologist
2005020459MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation Inc Speech-Language Pathologist CurrentSince Sep 8, 2025 Accepting new patients
Key Rehabilitation,Inc. Current Accepting new patients
Key Rehabilitation, Inc CurrentSince Sep 8, 2025 Accepting new patients

Locations

2900 NE Kendallwood Pkwy
Kansas City, MO 64119
Phone (816) 280-4280

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421539200000",
    "number": "1962891655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 REESE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683092",
            "telephone_number": "785-218-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683375",
            "telephone_number": "816-792-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRY",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-18",
        "last_updated": "2015-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2005020459",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.