Active NPI
Keaton Lovell
- Speech-Language Pathologist
- Poteau, OK
National Provider Identifier
1073972758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4229
- Practice address
- 100 Mockingbird LN
Poteau, OK 74953-2602 - Phone
- (918) 348-5537
- NPI assigned
- Feb 23, 2016
- Last updated
- Feb 23, 2016
- 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 | 4229 | OK | Primary |
Addresses
Primary practice location
100 Mockingbird LN
Poteau, OK 74953-2602
Mailing address
209 NE 5TH
McCurtain, OK 74944-3373
Phone (918) 348-5537
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4229 | OK | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1073972758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 NE 5TH",
"city": "MCCURTAIN",
"state": "OK",
"postal_code": "749443373",
"telephone_number": "918-348-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MOCKINGBIRD LN",
"city": "POTEAU",
"state": "OK",
"postal_code": "749532602",
"telephone_number": "918-348-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELL",
"first_name": "KEATON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "4229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.