Organization Active NPI

KLM Speech Language Pathology, LLC

  • Speech-Language Pathologist
  • Edmond, OK
National Provider Identifier
1295133601
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3770 Issued in OK
Legal business name
KLM SPEECH LANGUAGE PATHOLOGY, LLC
Practice address
4717 NW 155TH St
Edmond, OK 73013-9635
Phone
(405) 249-0334
NPI assigned
Dec 17, 2014
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Mrs. Krista Lynn Motley, M.S. CCC-SLPNPI 1295016640
Title
Speech-Language Pathologist
Phone
(405) 249-0334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3770 OK Primary

Addresses

Primary practice location

4717 NW 155TH St
Edmond, OK 73013-9635

Mailing address

4717 NW 155TH St
Edmond, OK 73013-9635
Phone (405) 249-0334

Other identifiers 1

IdentifierTypeStateIssuer
1295016640MedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1295133601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 NW 155TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139635",
            "telephone_number": "405-249-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 NW 155TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139635",
            "telephone_number": "405-249-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLM SPEECH LANGUAGE PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "MOTLEY",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "405-249-0334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295016640",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.