Active NPI
Rebecca Lucas, SLP
- Speech-Language Pathologist
- Ardmore, OK
National Provider Identifier
1245848050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- CF247
- Practice address
- 1107 W Broadway St
Ardmore, OK 73401-2833 - Phone
- (580) 226-5566
- Fax
- (580) 226-5567
- NPI assigned
- Jul 17, 2020
- 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 | CF247 | OK | Primary |
Addresses
Primary practice location
1107 W Broadway St
Ardmore, OK 73401-2833
Mailing address
1405 4TH Ave NW # 296
Ardmore, OK 73401-2708
Phone (580) 226-5566
Other practice location 1
410 W Lillie Blvd
Madill, OK 73446-1270
Phone (580) 872-4277
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erinw@prohabsecure.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Rehab LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1107 W Broadway St
Ardmore, OK 73401
Phone (580) 226-5566
1405 4th Ave NW
Ardmore, OK 73401
Phone (580) 226-5566
410 W Lillie Blvd
Madill, OK 73446
Phone (580) 226-5566
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": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1245848050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 4TH AVE NW # 296",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012708",
"telephone_number": "580-226-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 W BROADWAY ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012833",
"telephone_number": "580-226-5566",
"fax_number": "580-226-5567"
}
],
"practiceLocations": [
{
"address_1": "410 W Lillie Blvd",
"address_purpose": "LOCATION",
"city": "Madill",
"state": "OK",
"postal_code": "734461270",
"country_code": "US",
"telephone_number": "580-872-4277",
"fax_number": "580-872-4261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "REBECCA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "CF247",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erinw@prohabsecure.com",
"affiliation": "N",
"endpointDescription": "secure email server",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1107 W Broadway St",
"city": "Ardmore",
"state": "OK",
"country_code": "US",
"postal_code": "734012833",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.