MRS. TERESA LEANN TYRA (NPI# 1407102940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407102940 |
| Entity Type | Individual |
| Full Name | MRS. TERESA LEANN TYRA |
| Credential | M.S., CCC-SLP |
| Practice Address |
275 Illinois State Univ 211 Rachel Cooper Normal IL 61790-0001 |
| Mailing Address |
Eckelmann Taylor Speech and Hearing Clinic Campus Box 4720 Normal IL 61790-4720 |
| Practice Telephone | 3094388641 |
| Practice Fax Number | 3094385221 |
| Mailing Telephone | 3094388641 |
| Mailing Fax Number | 3094385221 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146-008242 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891991204 | Teresa Tyra | Physical Therapy Assistant | 740 E Laurel Rd, London, KY 40741-8601 | 2007-06-22 |
| Street Address |
275 ILLINOIS STATE UNIV 211 RACHEL COOPER |
| City | NORMAL |
| State | IL |
| Zip Code | 61790-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285980706 | Marcia Lynn Dennis | Speech-Language Pathologist | 275 Illinois State Univ, 211 Rachel Cooper, Normal, IL 61790-0001 | 2012-08-02 |
| 1932518313 | Brooke E Behm | Speech-Language Pathologist | 275 Illinois State Univ, 211 Rachel Cooper, Normal, IL 61790-0001 | 2014-08-11 |
| 1851700884 | Amy Lynn Yacucci | Speech-Language Pathologist | 275 Illinois State Univ, 211 Rachel Cooper, Normal, IL 61790-0001 | 2014-08-04 |
| 1801225107 | Rebecca Aukje Houtsma | Speech-Language Pathologist | 275 Illinois State Univ, 211 Rachel Cooper Building, Normal, IL 61790-0001 | 2013-11-06 |
| 1194071621 | Cara Lyn Boester | Speech-Language Pathologist | 275 Illinois State Univ, 211 Rachel Cooper, Normal, IL 61790-0001 | 2012-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124478714 | Noelle Selkow | Specialist/Technologist | 251c Mcormick Hall, Campus Box 5120, Normal, IL 61790 | 2016-06-15 |
| 1679920375 | Yvette Renee Pigman | Nurse Practitioner | 201 North University, Illinois State Studnet Health Services, Normal, IL 61790 | 2016-05-23 |
| 1912263815 | Kelly Haley | Specialist/Technologist | 7130 Horton Fieldhouse, Normal, IL 61790 | 2012-04-04 |
| 1023391331 | Marie Rupert | Pharmacist | 201 N University Street, Normal, IL 61790 | 2011-09-22 |
| 1770615502 | Illinois State University | Psychologist | 408 Fairchild Hall, Campus Box 4625, Normal, IL 61790 | 2007-03-09 |
| 1578161865 | Abigail Hardesty | Nurse Practitioner | 201 Illinois State Univ, Normal, IL 61790-0001 | 2020-10-09 |
| 1245846989 | Susan M Carl | Nurse Practitioner | 201 North University Street, Normal, IL 61790-0001 | 2020-09-18 |
| 1891336277 | Rebecca Ludolph | Registered Nurse | 201 N University, Normal, IL 61790-0001 | 2019-10-07 |
| 1184188633 | Rachel Elizabeth Heinz | Specialist/Technologist | 347 Illinois State Univ, Normal, IL 61790-0001 | 2019-01-29 |
| 1487118063 | Jean Sawyer | Speech-Language Pathologist | Mail Code 4720, Normal, IL 61790-0001 | 2019-01-28 |
| Find all providers in zip 61790 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487118063 | Jean Sawyer | Speech-Language Pathologist | Mail Code 4720, Normal, IL 61790-0001 | 2019-01-28 |
| 1063991792 | Emily Hallstein | Speech-Language Pathologist | 211 Rachel Cooper, Normal, IL 61790-0001 | 2018-08-13 |
| 1194243063 | Sue Ann Blankenship | Speech-Language Pathologist | 919 S Linden St, Normal, IL 61761-3730 | 2017-08-31 |
| 1831648484 | Shelly King | Speech-Language Pathologist | 219 Concord Dr, Normal, IL 61761-2754 | 2016-09-23 |
| 1952764631 | Morgan Leigh Norkiewicz | Speech-Language Pathologist | 201 Park Drag Ln, Normal, IL 61761-4850 | 2016-03-31 |
| 1053781278 | Katie Terese Mueller | Speech-Language Pathologist | 1606 Hunt Dr Ste 1a, Normal, IL 61761-6185 | 2015-09-30 |
| 1235528555 | Neha Kakkar Varma | Speech-Language Pathologist | 3522 Silverado Trl, Normal, IL 61761-9535 | 2015-01-12 |
| 1700293818 | Katherine Marie Stuepfert | Speech-Language Pathologist | 19 Lateer Dr, Normal, IL 61761-3925 | 2014-07-21 |
| 1295142982 | Beth Rooker | Speech-Language Pathologist | 1611 Budig Dr, Normal, IL 61761-2348 | 2014-07-15 |
| 1821411398 | Madelyn Jeffers | Speech-Language Pathologist | 706 Oglesby Ave Ste 200, Normal, IL 61761-6430 | 2014-02-03 |
| Find all providers in NORMAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.