Individual provider Active NPI

Alesa Deon McPhail, MS CCC SLP

  • Speech-Language Pathologist
  • Purcell, OK
National Provider Identifier
1265952147
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4544 Issued in OK
Practice address
120 South Lester LN
Purcell, OK 73080-5451
Phone
(405) 766-1238
Fax
(405) 310-0679
NPI assigned
Jun 22, 2017
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 4544 OK Primary

Addresses

Primary practice location

120 South Lester LN
Purcell, OK 73080-5451

Mailing address

3204 Marilyn Dr
Moore, OK 73160-0624
Phone (405) 650-9022

Other practice location 1

3204 Marilyn Dr
Moore, OK 73160-0624
Phone (405) 650-9022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612004551 OK Practitioner - Qualified Speech Language Pathologist 1355883703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeborn Dysphagia Associates LLCGroup PAC ID 2769806306, 2 clinicians

Practice addresses (Care Compare)

120 Lester LN
Purcell, OK 73080-5451
Phone (405) 766-1238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Freeborn Dysphagia Associates, LLC Speech-Language Pathologist CurrentSince Feb 9, 2024 Accepting new patients
Focus on Function, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

120 Lester Ln
Purcell, OK 73080
Phone (405) 766-1238

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1265952147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 MARILYN DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731600624",
            "telephone_number": "405-650-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH LESTER LN",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730805451",
            "telephone_number": "405-766-1238",
            "fax_number": "405-310-0679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3204 Marilyn Dr",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731600624",
            "country_code": "US",
            "telephone_number": "405-650-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHAIL",
        "first_name": "ALESA",
        "middle_name": "DEON",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.