Jessica L Lathem, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4442 Issued in OK

Practice address

2615 E Randolph Ave
Enid, OK 73701-4670

Phone

(580) 234-3734

Fax

(580) 234-2615

NPI assigned

Jul 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ghazi M. Rayan, MD, Inc.

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1972807667
  NPD (past)
• Lawton Urology

  • Urology Physician
  • Lawton, OK
  • NPI 1760997092
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1154706604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 N INTERSTATE DR",
            "address_2": "STE 154",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723377",
            "telephone_number": "405-307-6668",
            "fax_number": "405-701-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014670",
            "telephone_number": "580-234-3734",
            "fax_number": "580-234-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHEM",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200598780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrell Lanford III
• Josiah Trey Langley
• Kimberly Kay Langton, DNP, APRN, PMHNP-BC
• Anna Lara
• Larry'S Home Oxygen, Inc.
• Vincent D Lauderdale, PT,DPT
• Phillip M Lavender, BHRS
• Charles A Lawrence, M.D.
• Connie Lawrence
• Michael L. Lawrence, D.O.

• Speech-Language Pathologist in Enid, OK
• Providers in Enid, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.