Active NPI
Tanya Annette Myrick, MS,CCC-SLP
- Specialist
- Kansas City, MO
National Provider Identifier
1972706778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 111765
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111765 | MO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Kansas-Accounting Services | Current | Accepting new patients | |
| University of Kansas | Speech-Language Pathologist | Current | 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.
-
dba Larned State Hospital
- Psychiatric Hospital
- Larned, KS
- NPI 1144422197
-
dba Schiefelbusch Speech-Language-Hearing Clinic
- Speech-Language Pathologist
- Lawrence, KS
- NPI 1851266118
-
- Local Education Agency (LEA)
- Kansas City, MO
- NPI 1205962248
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.