Organization Active NPI

Boyer Speechpath LLC

  • Speech-Language Pathologist
  • Lawton, OK
National Provider Identifier
1104589332
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BOYER SPEECHPATH LLC
Practice address
812 E Lake Rd
Lawton, OK 73507-7152
Phone
(580) 529-7676
NPI assigned
Oct 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Chie Boyer, MA, CCC-SLPNPI 1811164858
Title
Speech Therapist, Owner
Phone
(931) 614-5497

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 Primary

Addresses

Primary practice location

812 E Lake Rd
Lawton, OK 73507-7152

Mailing address

6608 N Western Ave # 1417
Oklahoma City, OK 73116-7326
Phone (931) 614-5497

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chie.boyer@cbspeechpath.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231107002563 OK Part B Supplier - Clinic/Group Practice 7416304852 Receives reassigned benefits from 1 practitioner
Practice locations: Lawton, OK

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": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1104589332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 N WESTERN AVE # 1417",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167326",
            "telephone_number": "931-614-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E LAKE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735077152",
            "telephone_number": "580-529-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYER SPEECHPATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "CHIE",
        "authorized_official_title_or_position": "SPEECH THERAPIST, OWNER",
        "authorized_official_telephone_number": "931-614-5497",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chie.boyer@cbspeechpath.com",
            "affiliation": "N",
            "endpointDescription": "Hushmail account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication between owner, patients and authorized information accessor",
            "address_1": "812 E Lake Rd",
            "city": "Lawton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735077152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.