Active NPI
Melissa Kay Longhurst, M.S. CCC-SLP
- Speech-Language Pathologist
- Yukon, OK
National Provider Identifier
1093007676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1770
- Practice address
- 4301 N Sara Rd Ste 120
Yukon, OK 73099-3682 - Phone
- (405) 982-2086
- Fax
- (405) 900-4062
- NPI assigned
- May 13, 2011
- 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 | SP1770 | NV | Primary |
Addresses
Primary practice location
4301 N Sara Rd Ste 120
Yukon, OK 73099-3682
Mailing address
4301 N Sara Rd Ste 120
Yukon, OK 73099-3682
Phone (405) 328-8781
Other practice location 1
8313 Fritzen Ave
Las Vegas, NV 89131-4608
Phone (702) 861-5005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12116391 | Other | ASHA NUMBER |
Other names 1
- Melissa Kay Allsbrook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200326002592 | NV | Practitioner - Qualified Speech Language Pathologist | 9335578376 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1770 | NV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech by Melissa LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4301 N Sara Rd
Ste 120
Yukon, OK 73099
Phone (405) 982-2086
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Yukon, OK
- NPI 1841825536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1093007676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 N SARA RD STE 120",
"city": "YUKON",
"state": "OK",
"postal_code": "730993682",
"telephone_number": "405-328-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N SARA RD STE 120",
"city": "YUKON",
"state": "OK",
"postal_code": "730993682",
"telephone_number": "405-982-2086",
"fax_number": "405-900-4062"
}
],
"practiceLocations": [
{
"address_1": "8313 FRITZEN AVE",
"address_purpose": "LOCATION",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891314608",
"country_code": "US",
"telephone_number": "702-861-5005",
"fax_number": "702-952-0437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGHURST",
"first_name": "MELISSA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP1770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA NUMBER",
"identifier": "12116391",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "ALLSBROOK",
"middle_name": "KAY",
"credential": "MS CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.