Active NPI
Jeffery Gambill Cowen, M.S. SLP-CCC
- Speech-Language Pathologist
- Broken Arrow, OK
National Provider Identifier
1144666447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3391
- Practice address
- 17110 E 51St St
Broken Arrow, OK 74012-9279 - Phone
- (918) 355-1596
- NPI assigned
- May 14, 2013
- Sex
- Male
- 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 | 3391 | OK | Primary |
Addresses
Primary practice location
17110 E 51St St
Broken Arrow, OK 74012-9279
Mailing address
17110 E 51St St
Broken Arrow, OK 74012-9279
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3391 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1144666447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17110 E 51ST ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740129279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17110 E 51ST ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740129279",
"telephone_number": "918-355-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWEN",
"first_name": "JEFFERY",
"middle_name": "GAMBILL",
"name_prefix": "Mr.",
"credential": "M.S. SLP-CCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.