Active NPI
Destiney Taylor Binghom, SLPA
- Speech-Language Assistant
- Hobart, OK
National Provider Identifier
1366034068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 149
- Practice address
- 13804 N 2220 Rd
Hobart, OK 73651-6109 - Phone
- (580) 682-9365
- NPI assigned
- Feb 4, 2021
- 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 Assistant | 2355S0801X | 149 | OK | Primary |
Addresses
Primary practice location
13804 N 2220 Rd
Hobart, OK 73651-6109
Mailing address
13804 N 2220 Rd
Hobart, OK 73651-6109
Phone (580) 682-9365
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149 | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1366034068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13804 N 2220 RD",
"city": "HOBART",
"state": "OK",
"postal_code": "736516109",
"telephone_number": "580-682-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13804 N 2220 RD",
"city": "HOBART",
"state": "OK",
"postal_code": "736516109",
"telephone_number": "580-682-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHOM",
"first_name": "DESTINEY",
"middle_name": "TAYLOR",
"name_prefix": "Mrs.",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "OK",
"license": "149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hobart, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.