Active NPI
Robin Lynn Holcomb, MED. CCC-SLP
- Speech-Language Pathologist
- Oklahoma City, OK
National Provider Identifier
1164543955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2761
- Practice address
- 6400 N Santa Fe Ave
Suite B
Oklahoma City, OK 73116-9126 - Phone
- (405) 840-2903
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2761 | OK | Primary |
Addresses
Primary practice location
6400 N Santa Fe Ave
Suite B
Oklahoma City, OK 73116-9126
Mailing address
1105 S Morgan Dr
Moore, OK 73160-7023
Phone (405) 794-0882
Other names 1
- Robin Lynn Sage
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2761 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus on Function, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164543955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 S MORGAN DR",
"city": "MOORE",
"state": "OK",
"postal_code": "731607023",
"telephone_number": "405-794-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 N SANTA FE AVE",
"address_2": "SUITE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731169126",
"telephone_number": "405-840-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "ROBIN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MED. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "2761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "SAGE",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.