Individual provider Active NPI

Deana Krueger Pfannschmidt, SLP.D, CCC-SLP

  • Speech-Language Pathologist
  • Norman, OK
National Provider Identifier
1326870536
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5470 Issued in OK
Practice address
3917 NW Sterling St
Norman, OK 73072-1241
Phone
(405) 664-4184
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 193104 MN
Speech-Language Pathologist 235Z00000X 5470 OK Primary

Addresses

Primary practice location

3917 NW Sterling St
Norman, OK 73072-1241

Mailing address

PO Box 720387
Norman, OK 73070-4285
Phone (405) 664-4184

Other practice location 1

410 S Hill St
Marshall, MN 56258-1920
Phone (405) 664-4184

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5470OKMDPhysical Therapist
193104MNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1326870536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720387",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704285",
            "telephone_number": "405-664-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 NW STERLING ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721241",
            "telephone_number": "405-664-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 S Hill St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562581920",
            "country_code": "US",
            "telephone_number": "405-664-4184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUEGER PFANNSCHMIDT",
        "first_name": "DEANA",
        "credential": "SLP.D, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "193104",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.