Active NPI
Vicky Robinson, M.S., CCC-SLP
- Speech-Language Pathologist
- Oklahoma City, OK
National Provider Identifier
1043323264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 308
- Practice address
- 7301 Broadway Ext
Suite 115
Oklahoma City, OK 73116-9045 - Phone
- (405) 840-1335
- Fax
- (405) 840-1335
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 308 | OK | Primary |
Addresses
Primary practice location
7301 Broadway Ext
Suite 115
Oklahoma City, OK 73116-9045
Mailing address
518 Ramblewood Ter
Edmond, OK 73034-4340
Phone (405) 641-0686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308 | OK | MD | Addiction (Substance Use Disorder) Counselor |
| 990 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043323264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 RAMBLEWOOD TER",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344340",
"telephone_number": "405-641-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 BROADWAY EXT",
"address_2": "SUITE 115",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731169045",
"telephone_number": "405-840-1335",
"fax_number": "405-840-1335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "VICKY",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.