Active NPI
Nicole Burkhardt, SLP
- Speech-Language Pathologist
- Tulsa, OK
National Provider Identifier
1316349384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4210
- Practice address
- 4415 S Harvard Ave
#125
Tulsa, OK 74135-2620 - Phone
- (918) 508-7601
- Fax
- (918) 508-7603
- NPI assigned
- Sep 22, 2014
- 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 | 4210 | OK | Primary |
Addresses
Primary practice location
4415 S Harvard Ave
#125
Tulsa, OK 74135-2620
Mailing address
4415 S Harvard Ave
#125
Tulsa, OK 74135-2620
Phone (918) 508-7601
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4210 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Hearing | Speech-Language Pathologist | Past | Accepting new patients |
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": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1316349384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 S HARVARD AVE",
"address_2": "#125",
"city": "TULSA",
"state": "OK",
"postal_code": "741352620",
"telephone_number": "918-508-7601",
"fax_number": "918-508-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 S HARVARD AVE",
"address_2": "#125",
"city": "TULSA",
"state": "OK",
"postal_code": "741352620",
"telephone_number": "918-508-7601",
"fax_number": "918-508-7603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHARDT",
"first_name": "NICOLE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "4210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.