NPIMap

Individual provider Active NPI

Cassidy Lynn Everett, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Claremore, OK
National Provider Identifier
1164044145
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5688 Issued in OK
Practice address
2102 N Chambers Ter
Claremore, OK 74017-6234
Phone
(918) 208-6894
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 5688 OK Primary

Addresses

Primary practice location

2102 N Chambers Ter
Claremore, OK 74017-6234

Mailing address

2102 N Chambers Ter
Claremore, OK 74017-6234
Phone (918) 208-6894

Other practice location 1

3304 S M St
Fort Smith, AR 72903-2903
Phone (479) 785-4677

Other practice location 2

12899 E 76th St N Ste 109
Owasso, OK 74055-4059
Phone (918) 609-6003

Other identifiers 1

IdentifierTypeStateIssuer
200954770AMedicaidOK

Other names 1

  • Cassidy Lynn Hughes Former name

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

LicenseStateTypeSpecialty
5688OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Everett Speech Therapy LLC Speech-Language Pathologist CurrentSince Aug 27, 2023 Accepting new patients
MM ABA Pryor LLC Speech-Language Pathologist Current Accepting new patients
Imagine Pediatric Therapy, PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1164044145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 N CHAMBERS TER",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740176234",
            "telephone_number": "918-208-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N CHAMBERS TER",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740176234",
            "telephone_number": "918-208-6894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3304 S M St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729032903",
            "country_code": "US",
            "telephone_number": "479-785-4677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12899 E 76th St N Ste 109",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554059",
            "country_code": "US",
            "telephone_number": "918-609-6003",
            "fax_number": "918-609-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "CASSIDY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200954770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "HUGHES",
            "middle_name": "LYNN",
            "credential": "M.S, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.