Active NPI
Allison Clanton Deimund, M.A., CCC-SLP
- Speech-Language Pathologist
- Moore, OK
National Provider Identifier
1053925040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5127
- Practice address
- 9201 S I 35 Service Rd
Moore, OK 73160-9046 - Phone
- (405) 601-4303
- NPI assigned
- Sep 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 5127 | OK | Primary |
Addresses
Primary practice location
9201 S I 35 Service Rd
Moore, OK 73160-9046
Mailing address
908 NW 16TH St
Oklahoma City, OK 73106-6404
Phone (580) 445-8312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5127 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Pediatric Therapy | Past | Accepting new patients | |
| Aky MD, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Oklahoma City, OK
- NPI 1417335225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1053925040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NW 16TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731066404",
"telephone_number": "580-445-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 S I 35 SERVICE RD",
"city": "MOORE",
"state": "OK",
"postal_code": "731609046",
"telephone_number": "405-601-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEIMUND",
"first_name": "ALLISON",
"middle_name": "CLANTON",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-07",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "5127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.