Individual provider Active NPI

Emily E Buller, MS CCC SLP

  • Speech-Language Pathologist
  • Enid, OK
National Provider Identifier
1063649127
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3207 Issued in OK
Practice address
2615 E Randolph Ave
Enid, OK 73701-4670
Phone
(580) 234-3734
Fax
(580) 234-3554
NPI assigned
Jun 16, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3207 OK Primary

Addresses

Primary practice location

2615 E Randolph Ave
Enid, OK 73701-4670

Mailing address

2615 E Randolph Ave
Enid, OK 73701-4670
Phone (580) 234-3734

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 Science

State licenses

LicenseStateTypeSpecialty
3207OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thayne a Hedges Regional Speech and Hearing Center Inc Speech-Language Pathologist Current Accepting new patients

Locations

2615 E Randolph Ave
Enid, OK 73701
Phone (580) 234-3734

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1063649127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014670",
            "telephone_number": "580-234-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014670",
            "telephone_number": "580-234-3734",
            "fax_number": "580-234-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLER",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.