Active NPI
Speech Pathways, PLLC
- Rehabilitation Clinic/Center
- Ardmore, OK
National Provider Identifier
1053361741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SPEECH PATHWAYS, PLLC
- Practice address
- 812 12TH Ave NW
Ardmore, OK 73401-5708 - Phone
- (580) 223-1313
- Fax
- (580) 223-1629
- NPI assigned
- May 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Owen Shelton, PHD
- Title
- Speech Language Pathologist
- Phone
- (580) 223-1313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
812 12TH Ave NW
Ardmore, OK 73401-5708
Mailing address
1002 Stanley St SW
Ardmore, OK 73401-4638
Phone (580) 226-5210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 441868611-001 | Other | OK | BCBS 12 DIGIT # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053361741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 STANLEY ST SW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734014638",
"telephone_number": "580-226-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 12TH AVE NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734015708",
"telephone_number": "580-223-1313",
"fax_number": "580-223-1629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH PATHWAYS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "OWEN",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "580-223-1313",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS 12 DIGIT #",
"identifier": "441868611-001",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.