Amanda Hanrahan, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP 3111 Issued in OK

Practice address

202 W Broadway St
Muskogee, OK 74401-6651

Phone

(918) 684-3700

Fax

(918) 684-3724

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Muskogee Public Schools

  • Local Education Agency (LEA)
  • Muskogee, OK
  • NPI 1184904591
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1003851585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016651",
            "telephone_number": "918-684-3700",
            "fax_number": "918-684-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744016651",
            "telephone_number": "918-684-3700",
            "fax_number": "918-684-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12899 E 76th St N Unit 117",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554026",
            "country_code": "US",
            "telephone_number": "918-609-6003",
            "fax_number": "918-609-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANRAHAN",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "SLP 3111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200063990C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael W Hammond, MD
• Pamela Sue Hamrick, ARNP-MS
• Hanger Prosthetics & Orthotics East Inc
• Jennifer Carol Hankins
• Bethany Ladawn Hannon, RN, IBCLC
• Madalyn Hansen, BHCM II
• Shannon Hargrove-Chambers
• Amber Harjo
• Gordon Keith Harlin
• Liberty Harlow, CMII, BHWC

• Speech-Language Pathologist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.