Mary Audrah Hall

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

202660 Issued in AR

Practice address

1117 S Douglas Blvd Ste F
Midwest City, OK 73130-5265

Phone

(405) 259-9478

Fax

(405) 259-8332

NPI assigned

Jun 29, 2023

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

State licenses

Practice roles

Locations

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.

• Oklahoma Skynet, Inc

  • Local Education Agency (LEA)
  • Midwest City, OK
  • NPI 1467200477
  NPD

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1205513421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470477 E 1125 RD",
            "city": "MULDROW",
            "state": "OK",
            "postal_code": "749487438",
            "telephone_number": "918-315-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S DOUGLAS BLVD STE F",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305265",
            "telephone_number": "405-259-9478",
            "fax_number": "405-259-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 E Pointer Trl",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729562336",
            "country_code": "US",
            "telephone_number": "479-474-7942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470477 E 1125 Rd",
            "address_purpose": "LOCATION",
            "city": "Muldrow",
            "state": "OK",
            "postal_code": "749487438",
            "country_code": "US",
            "telephone_number": "918-315-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "middle_name": "AUDRAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "6385",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon L Guthery, B.S., M.ED
• Lori Guthrie, BCBA
• Alexandra Hale, RBT
• Halidom PHW PLLC
• Jessica N Hall, APRN, CNP.
• Adrianna Halstead, RDN
• Joseph Hamati, M.D.
• Christine Hamilton
• Stephen A Hamilton, M.D.
• Kristen Bissell Hamm, MS

• Speech-Language Pathologist in Midwest City, OK
• Providers in Midwest City, 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 7, 2025; 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.