Individual provider Active NPI

Kendra D Barnum, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Plano, TX
National Provider Identifier
1336849033
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3380 Issued in OK
Practice address
5800 Granite Pkwy Ste 1000
Plano, TX 75024-6619
Phone
(405) 317-2610
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 3380 OK Primary

Addresses

Primary practice location

5800 Granite Pkwy Ste 1000
Plano, TX 75024-6619

Mailing address

8325 N Ashley Dr
Edmond, OK 73025-1557
Phone (405) 388-4130

Other practice location 1

2801 N Birch Ave
Broken Arrow, OK 74012-8856
Phone (405) 317-2610

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3380OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Pro Rehab LLC Speech-Language Pathologist CurrentSince Mar 12, 2023 Accepting new patients
Reliant Pro Rehab LLC Speech-Language Pathologist CurrentSince Mar 12, 2023 Accepting new patients

Locations

5800 Granite Pkwy
Ste 1000
Plano, TX 75024
Phone (866) 422-5051

Organizations & group practices 2

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1336849033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 N ASHLEY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730251557",
            "telephone_number": "405-388-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 GRANITE PKWY STE 1000",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246619",
            "telephone_number": "405-317-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 N Birch Ave",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740128856",
            "country_code": "US",
            "telephone_number": "405-317-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNUM",
        "first_name": "KENDRA",
        "middle_name": "D",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.