Miranda Robinson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3322 Issued in OK

Practice address

309 NW E St
Stigler, OK 74462-1870

Phone

(918) 967-8875

Fax

(918) 967-4550

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stein Ancillary Services, LLC

  • Rehabilitation Practitioner
  • Fort Smith, AR
  • NPI 1073591582

  OK, Speech-Language Pathologist

  Medicare reassignment NPD
• Stigler Public Schools

  • Public Health or Welfare Agency
  • Stigler, OK
  • NPI 1477689040
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1346511516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NW E ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621870",
            "telephone_number": "918-967-8875",
            "fax_number": "918-967-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NW E ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621870",
            "telephone_number": "918-967-8875",
            "fax_number": "918-967-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Kathleen Reynolds, LMSW-P
• Mavis Wyanema Risenhoover, LCSW
• Jeremy D. Roach, O.D.
• Melissa Robbins
• David Lindo Robertson
• Kelsey Ross
• Meredith D Ross, PHARMD
• Pam Ross
• Shannon Gail Roye Johnston, LPC
• Sans Bois Health Services, Inc

• Speech-Language Pathologist in Stigler, OK
• Providers in Stigler, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.