Individual provider Active NPI

Tanya Annette Myrick, MS,CCC-SLP

  • Specialist
  • Kansas City, MO
National Provider Identifier
1972706778
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
111765 Issued in MO
Practice address
1211 McGee St
Room 905-B
Kansas City, MO 64106-2416
Phone
(816) 418-7840
Fax
(816) 418-1807
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 111765 MO Primary
Speech-Language Pathologist 235Z00000X 111765 MO

Addresses

Primary practice location

1211 McGee St
Room 905-B
Kansas City, MO 64106-2416

Mailing address

1211 McGee St
Room 905-B
Kansas City, MO 64106-2416
Phone (816) 418-7840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001713 KS Practitioner - Qualified Speech Language Pathologist 9638530439 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111765MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Kansas-Accounting Services CurrentSince Sep 1, 2023 Accepting new patients
University of Kansas Speech-Language Pathologist CurrentSince Dec 1, 2025 Accepting new patients
School District of Kansas City, Missouri Past Accepting new patients

Locations

1301 KS Highway 264
Larned, KS 67550
Phone (620) 285-2131

1200 Sunnyside Ave
#2101
Lawrence, KS 66045
Phone (785) 864-0656

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1972706778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MCGEE ST",
            "address_2": "ROOM 905-B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062416",
            "telephone_number": "816-418-7840",
            "fax_number": "816-418-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MCGEE ST",
            "address_2": "ROOM 905-B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062416",
            "telephone_number": "816-418-7840",
            "fax_number": "816-418-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "TANYA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "111765",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "111765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.