Individual provider Active NPI

Ashley Stiles

  • Speech-Language Pathologist
  • Durant, OK
National Provider Identifier
1003554502
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CF436 Issued in OK
Practice address
1600 N Washington Ave
Durant, OK 74701-2128
Phone
(580) 740-0205
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CF436 OK Primary

Addresses

Primary practice location

1600 N Washington Ave
Durant, OK 74701-2128

Mailing address

1600 N Washington Ave
Durant, OK 74701-2128
Phone (580) 740-0205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530003187 OK Practitioner - Qualified Speech Language Pathologist 2668839085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CF436OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Janee Standifer SLP, LLC Speech-Language Pathologist CurrentSince May 2, 2023 Accepting new patients

Locations

1600 W University Blvd
Durant, OK 74701
Phone (580) 740-0205

1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1003554502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012128",
            "telephone_number": "580-740-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012128",
            "telephone_number": "580-740-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "CF436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.