Active NPI
KLM Speech Language Pathology, LLC
- Speech-Language Pathologist
- Edmond, OK
National Provider Identifier
1295133601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3770
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295016640 | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Edmond, OK
- NPI 1295016640
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.