Individual provider Active NPI

Hillary Michelle Kistler, SLP

  • Speech-Language Pathologist
  • Norman, OK
National Provider Identifier
1003614272
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5229 Issued in OK
Practice address
724 24TH Ave NW Ste 100
Norman, OK 73069-6214
Phone
(054) 471-5714
Fax
(405) 447-1579
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 5229 OK Primary

Addresses

Primary practice location

724 24TH Ave NW Ste 100
Norman, OK 73069-6214

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-3026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401003587 OK Practitioner - Qualified Speech Language Pathologist 8022531839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

724 24TH Ave NW
100 Phys Perform Ctr
Norman, OK 73069-6214
Phone (405) 447-1571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5229OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care CurrentSince Mar 1, 2025 Accepting new patients

Locations

2000 Ann Branden Blvd
Ste 201
Norman, OK 73071
Phone (405) 515-0520

724 24th Ave NW
Ste 100
Norman, OK 73069
Phone (405) 447-1571

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1003614272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-3026",
            "fax_number": "405-515-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 24TH AVE NW STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696214",
            "telephone_number": "054-471-5714",
            "fax_number": "405-447-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "HILLARY",
        "middle_name": "MICHELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.