Active NPI
Elizabeth Suzanne McGaha, MS, CCC-SLP
- Speech-Language Pathologist
- Yukon, OK
National Provider Identifier
1356809271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4216
- Practice address
- 1824 Commons Cir Ste B
Yukon, OK 73099-9538 - Phone
- (405) 467-9332
- Fax
- (405) 285-5403
- NPI assigned
- Mar 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 4216 | OK | Primary |
Addresses
Primary practice location
1824 Commons Cir Ste B
Yukon, OK 73099-9538
Mailing address
10920 SW 30TH Ter
Yukon, OK 73099-0435
Phone (817) 773-3427
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1356809271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10920 SW 30TH TER",
"city": "YUKON",
"state": "OK",
"postal_code": "730990435",
"telephone_number": "817-773-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 COMMONS CIR STE B",
"city": "YUKON",
"state": "OK",
"postal_code": "730999538",
"telephone_number": "405-467-9332",
"fax_number": "405-285-5403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAHA",
"first_name": "ELIZABETH",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-10",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "4216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.