Healthcare Provider Details

I. General information

NPI: 1285447052
Provider Name (Legal Business Name): EMIRETH MONARREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 AVENIDA CESAR E CHAVEZ
KANSAS CITY MO
64108-2133
US

IV. Provider business mailing address

519 AVENIDA CESAR E CHAVEZ
KANSAS CITY MO
64108-2133
US

V. Phone/Fax

Practice location:
  • Phone: 888-913-1910
  • Fax:
Mailing address:
  • Phone: 888-913-1910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2024047419
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4165
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2025035612
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: