Individual provider Active NPI

Jenine F. Riemer, MA, CCC-SLP

  • Speech-Language Pathologist
  • Norman, OK
National Provider Identifier
1164964482
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4059 Issued in OK
Practice address
1201 W. Boyd St.
Norman, OK 73069-4801
Phone
(405) 366-7898
Fax
(405) 366-0010
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4059 OK Primary

Addresses

Primary practice location

1201 W. Boyd St.
Norman, OK 73069-4801

Mailing address

2221 Diana Lane
Norman, OK 73071-9714
Phone (405) 510-5248

Other identifiers 1

IdentifierTypeStateIssuer
200675040AMedicaidOK

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 Arts

State licenses

LicenseStateTypeSpecialty
4059OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therafun LLC Speech-Language Pathologist CurrentSince Sep 5, 2023 Accepting new patients

Locations

1201 W Boyd St
Norman, OK 73069
Phone (405) 366-7898

1300 McGee Dr
Ste 113
Norman, OK 73072
Phone (405) 366-7898

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1164964482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 DIANA LANE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730719714",
            "telephone_number": "405-510-5248",
            "fax_number": "405-366-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W. BOYD ST.",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730694801",
            "telephone_number": "405-366-7898",
            "fax_number": "405-366-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEMER",
        "first_name": "JENINE",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200675040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.