Organization Active NPI

Mra Contracting Services LLC

Doing business as Speech for Kids

  • Speech-Language Pathologist
  • Yukon, OK
National Provider Identifier
1063968287
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2163 Issued in OK
Legal business name
MRA CONTRACTING SERVICES LLC
Doing business as
Speech for Kids
Practice address
656 Kingston PL
Yukon, OK 73099-3823
Phone
(405) 777-9160
Fax
(405) 592-6313
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Ms. Marnee Nicole Altebaumer, MS CCC SLPNPI 1821266701
Title
Speech Language Pathologist/Owner
Phone
(405) 777-9160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2163 OK Primary

Addresses

Primary practice location

656 Kingston PL
Yukon, OK 73099-3823

Mailing address

656 Kingston Dr.
Yukon, OK 73099-3823
Phone (405) 777-9160

Other identifiers 1

IdentifierTypeStateIssuer
1821266701MedicaidOK

Other names 1

  • Speech for Kids Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1063968287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 KINGSTON DR.",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993823",
            "telephone_number": "405-777-9160",
            "fax_number": "405-592-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 KINGSTON PL",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730993823",
            "telephone_number": "405-777-9160",
            "fax_number": "405-592-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRA CONTRACTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "ALTEBAUMER",
        "authorized_official_first_name": "MARNEE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "405-777-9160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821266701",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.