Gold Bison Enterprises, P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2734 Issued in OK

Legal business name

GOLD BISON ENTERPRISES, P.C.

Practice address

6105 SE Nowata Road
Suite 107
Bartlesville, OK 74006-0000

Phone

(918) 766-1151

Fax

(918) 335-3795

NPI assigned

Mar 8, 2011

Organization subpart

No

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

Authorized official

Name

Kimberly R. Mashunkashey, M.A., CCC-SLP

Title

President

Phone

(918) 766-1151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1366740805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FLEETWOOD PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068315",
            "telephone_number": "918-766-1151",
            "fax_number": "918-333-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 SE NOWATA ROAD",
            "address_2": "SUITE 107",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740060000",
            "telephone_number": "918-766-1151",
            "fax_number": "918-335-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD BISON ENTERPRISES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "MASHUNKASHEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-766-1151",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Ruth Glenn-Borts, LCSW
• Alicia Glenn, BA,BHRS,CM
• Jennifer Glenn
• April Dawn Goff
• Lyndsey Cheyenne Goff, B.S.
• William Howard Golden
• Alexandre Souza Goncalves, LPC
• Misty Dawn Gonzales
• Jaime Gonzalez Jr.
• Lauren Goode

• Speech-Language Pathologist in Bartlesville, OK
• Providers in Bartlesville, 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 Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.