Individual provider Active NPI

Deanna Lynn Severson, MS, CCCSLP

  • Speech-Language Pathologist
  • Bartlesville, OK
National Provider Identifier
1215168570
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2561 Issued in OK
Practice address
1430 Harris Dr
Bartlesville, OK 74006-5417
Phone
(918) 766-3383
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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 2561 OK Primary

Addresses

Primary practice location

1430 Harris Dr
Bartlesville, OK 74006-5417

Mailing address

1430 Harris Dr
Bartlesville, OK 74006-5417
Phone (918) 766-3383

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2561OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Therapy Services Inc Past Accepting new patients
D L Severson, Speech Pathologist, PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1215168570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HARRIS DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065417",
            "telephone_number": "918-766-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HARRIS DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065417",
            "telephone_number": "918-766-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, CCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.