Active NPI
Jennifer R. Hendrix, MS, CCC-SLP
- Speech-Language Pathologist
- Norman, OK
National Provider Identifier
1346457421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2336
- Practice address
- 1201 W. Boyd St.
Norman, OK 73069-4801 - Phone
- (405) 366-7898
- Fax
- (405) 366-0010
- NPI assigned
- May 17, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA4787 | FL | |
| Speech-Language Pathologist | 235Z00000X | 205 | AK | |
| Speech-Language Pathologist | 235Z00000X | 2336 | OK | Primary |
Addresses
Primary practice location
1201 W. Boyd St.
Norman, OK 73069-4801
Mailing address
1201 W. Boyd St.
Norman, OK 73069-4801
Phone (405) 366-7898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200316320 | Other | OK | OHCA |
| 200316320A | Medicaid | OK |
Other names 1
- Jennifer Robyn Hendrix
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 |
|---|---|---|---|
| SA4787 | FL | MD | Speech-Language Pathologist |
| 205 | AK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therafun LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1201 W Boyd St
Norman, OK 73069
Phone (405) 366-7898
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": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1346457421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W. BOYD ST.",
"city": "NORMAN",
"state": "OK",
"postal_code": "730694801",
"telephone_number": "405-366-7898",
"fax_number": "405-366-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W. BOYD ST.",
"city": "NORMAN",
"state": "OK",
"postal_code": "730694801",
"telephone_number": "405-366-7898",
"fax_number": "405-366-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "JENNIFER",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA4787",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "205",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "2336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHCA",
"identifier": "200316320",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200316320A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HENDRIX",
"middle_name": "ROBYN",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 1, 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.