Skyler Hornbeak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2023036921 Issued in MO

Practice address

614 E Adams St
Jackson, MO 63755-2150

Phone

(573) 243-9527

Fax

(573) 243-9525

NPI assigned

Oct 31, 2023

Last updated

Oct 31, 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson R-2 Schools

  • Local Education Agency (LEA)
  • Jackson, MO
  • NPI 1053564245
  NPD (past)

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1982477113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E ADAMS ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552150",
            "telephone_number": "573-243-9527",
            "fax_number": "573-243-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E ADAMS ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552150",
            "telephone_number": "573-243-9527",
            "fax_number": "573-243-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBEAK",
        "first_name": "SKYLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2023036921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Jackson, MO
• Providers in Jackson, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.