Kim Elizabeth Macy I, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1085 Issued in OK

Practice address

6128 E 38TH St Ste 400
Tulsa, OK 74135-5808

Phone

(918) 835-8691

Fax

(918) 836-4505

NPI assigned

Apr 3, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1013449461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10013 S 100TH EAST PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335188",
            "telephone_number": "918-625-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 E 38TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355808",
            "telephone_number": "918-835-8691",
            "fax_number": "918-836-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACY",
        "first_name": "KIM",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skye Macleod
• Timothy Burton Maclin, DPM
• Chelsea S Macon
• Dana Macon
• Angela Macrae
• Debra Kaye Madaj, MD
• Thomas Edward Madaj, MD
• Bridget Ann Madden, CM-A, BHRS
• Kevin Madden, CRNA
• Peter Madden, MD

• Speech-Language Pathologist in Tulsa, OK
• Providers in Tulsa, 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 Apr 3, 2017; 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.