Bridgette J Payne, MS. CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2640 Issued in OK

Practice address

5110 S. Yale Ave.
Ste. 102
Tulsa, OK 74135

Phone

(918) 492-2386

Fax

(918) 645-8686

NPI assigned

Jul 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1194925149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 S. YALE AVE.",
            "address_2": "STE. 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-492-2386",
            "fax_number": "918-645-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S. YALE AVE.",
            "address_2": "STE. 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-492-2386",
            "fax_number": "918-645-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "BRIDGETTE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS. CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2640",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Wayne Paxton, DC
• Glenda Payas, D.M.D.
• Linda Laird Paylor, CMA
• Susan Rebecca Paylor, R.D.
• Amy Raquel Payne
• Ivory V Payne
• Karen Janette Payne, RN
• Lashaunda Charelle Payne, BS
• Lori Woodson Payne, OCCU
• Marissa L Payne

• Speech-Language Pathologist in Tulsa, OK
• Providers in Tulsa, 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 May 10, 2017; 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.