Active NPI
Kendra D Barnum, M.S., CCC-SLP
- Speech-Language Pathologist
- Plano, TX
National Provider Identifier
1336849033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3380
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3380 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Pro Rehab LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Reliant Pro Rehab LLC | Speech-Language Pathologist | Current | 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.