CORY MYREN (NPI# 1730537630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730537630 |
| Entity Type | Individual |
| Full Name | CORY MYREN |
| Credential | AU.D. |
| Practice Address |
849 Stoneridge Pkwy Jefferson City MO 65109 |
| Mailing Address |
4234 Cline Rd Apt C Fort Campbell KY 42223-1945 |
| Practice Telephone | 5736942805 |
| Mailing Telephone | 5736942805 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 2018019010 | MO | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1730537630 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 Piikoi St, Suite 511, Honolulu, HI 968143116 | 8085996211 |
| Street Address |
849 STONERIDGE PKWY |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134514391 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2015-04-03 |
| 1578005823 | Stefanie Weber | Pharmacist | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2016-11-16 |
| 1700265642 | Sam's East, Inc | Technician/Technologist | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326685421 | Escobar Mobile Aud of Mo LLC | Audiologist | 221 Bolivar St, Jefferson City, MO 65101-1572 | 2019-12-08 |
| 1396748695 | Teresa R, Stepp | Audiologist | 1004 N Highway 92, Ste D, Jefferson City, TN 37760-3687 | 2005-05-31 |
| 1467835728 | Keri Elizabeth Salvatore | Audiologist | 1125 Madison St, Jefferson City, MO 65101-5227 | 2015-07-06 |
| 1760742662 | Anna Schwalb Woods | Audiologist | 1004 N Highway 92, Suite D, Jefferson City, TN 37760-3687 | 2012-05-24 |
| 1538297346 | Juan Bradley Allard | Audiologist | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415381 | Eleni Beeve | Audiologist | 10004 Kennerly Rd Ste 205a, Saint Louis, MO 63128-5108 | 2020-10-19 |
| 1508484072 | Victoria Elizabeth Eschmann | Audiologist | 1551 Wall St Ste 100, Saint Charles, MO 63303-3540 | 2020-07-10 |
| 1174146591 | Leah Stanza | Audiologist | 1812 Nw Vesper St, Blue Springs, MO 64015-3206 | 2020-05-20 |
| 1861013500 | Concierge Hearing Care, LLC | Audiologist | 5315 Mirasol Manor Way, Eureka, MO 63025-2751 | 2020-05-05 |
| 1760031009 | Patty Taylor Gilberto | Audiologist | 2487 County Road 309, Poplar Bluff, MO 63901-4999 | 2019-09-10 |
| 1528611399 | Lynsey Ralston | Audiologist | 4880 Ne Goodview Cir Ste B, Lees Summit, MO 64064-1946 | 2019-07-22 |
| 1760944565 | Hearing and Audiology Sevices, LLC | Audiologist | 1722 S Glenstone Ave Ste J1, Springfield, MO 65804-1530 | 2019-04-02 |
| 1649742982 | Abdullah M Jamos | Audiologist | 3106 E Kingsley St, Springfield, MO 65804-6689 | 2018-12-27 |
| 1033695143 | Chelsea Marie Tisckos | Audiologist | 6400 Clayton Rd Ste 405, Saint Louis, MO 63117-1850 | 2018-07-12 |
| 1770076317 | Samantha Fox | Audiologist | 615 S New Ballas Rd Ste 385a, Saint Louis, MO 63141-8221 | 2018-06-08 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.