Active NPI
Danielle Decker
- Speech-Language Pathologist
- Grove, OK
National Provider Identifier
1003273335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2513
- Practice address
- 825 E 3Rd St
Grove, OK 74344-7973 - Phone
- (918) 964-7025
- Fax
- (918) 964-7024
- NPI assigned
- Jan 17, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2513 | OK | Primary |
Addresses
Primary practice location
825 E 3Rd St
Grove, OK 74344-7973
Mailing address
26315 S 545 Rd
Afton, OK 74331-6497
Phone (918) 964-7025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2513 | Other | OK | OKLAHOMA BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2513 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452988800000",
"number": "1003273335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26315 S 545 RD",
"city": "AFTON",
"state": "OK",
"postal_code": "743316497",
"telephone_number": "918-964-7025",
"fax_number": "918-964-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E 3RD ST",
"city": "GROVE",
"state": "OK",
"postal_code": "743447973",
"telephone_number": "918-964-7025",
"fax_number": "918-964-7024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-17",
"last_updated": "2016-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "2513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY",
"identifier": "2513",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.