Individual provider Active NPI

Amberly Wood

  • Speech-Language Pathologist
  • Midwest City, OK
National Provider Identifier
1336591874
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4592 Issued in OK
Practice address
1117 S Douglas Blvd Ste F
Midwest City, OK 73130-5265
Phone
(405) 259-9478
Fax
(405) 259-8332
NPI assigned
Jul 8, 2016
Last updated
Jul 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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 4592 OK Primary

Addresses

Primary practice location

1117 S Douglas Blvd Ste F
Midwest City, OK 73130-5265

Mailing address

1117 S Douglas Blvd Ste F
Midwest City, OK 73130-5265
Phone (405) 259-9478

Other practice location 1

882 Belpine Loop
Broken Bow, OK 74728-5870
Phone (918) 424-0059

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
4592OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Skynet, Inc CurrentSince Jul 13, 2025 Accepting new patients

Locations

1117 S Douglas Blvd
Ste F
Oklahoma City, OK 73130
Phone (405) 259-9478

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, 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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1336591874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S DOUGLAS BLVD STE F",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305265",
            "telephone_number": "405-259-9478",
            "fax_number": "405-259-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S DOUGLAS BLVD STE F",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305265",
            "telephone_number": "405-259-9478",
            "fax_number": "405-259-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "882 Belpine Loop",
            "address_purpose": "LOCATION",
            "city": "Broken Bow",
            "state": "OK",
            "postal_code": "747285870",
            "country_code": "US",
            "telephone_number": "918-424-0059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.