Active NPI
Kalli Jean Tyner, M.S. CCC-SLP
- Speech-Language Pathologist
- Weirton, WV
National Provider Identifier
1972375137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-2520
- Practice address
- 601 Colliers Way
Weirton, WV 26062-5014 - Phone
- (304) 797-6495
- NPI assigned
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-2520 | WV | Primary |
Addresses
Primary practice location
601 Colliers Way
Weirton, WV 26062-5014
Mailing address
1136 Pennsylvania Ave
Weirton, WV 26062-3338
Phone (906) 203-1065
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-2520 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1972375137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 PENNSYLVANIA AVE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623338",
"telephone_number": "906-203-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 COLLIERS WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625014",
"telephone_number": "304-797-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNER",
"first_name": "KALLI",
"middle_name": "JEAN",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-2520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weirton, WV
- Tri-State Eye Center PLLC (Eyes on the Valley)
- Dawn Trushel, RN
- Daryl Trusty, D.O.
- Gage Matthew Turner, PA
- Kody Thomas Tuttle, D.D.S.
- Chandraprakash Umapathy, M.D.. M.S.
- Urgent Care, Inc - West Virginia (Urgent Care, Inc - West Virginia Weirton)
- Urology Group Assoc. Inc
- Dennis Russell Utt
- Valley Foot and Ankle Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.