Individual provider Active NPI

Marcy Beth Chekofsky, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Tulsa, OK
National Provider Identifier
1366779647
Registry record updated Nov 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3025 Issued in OK
Practice address
4214 E 97TH St
Tulsa, OK 74137-4822
Phone
(918) 299-8495
Fax
(918) 299-8496
NPI assigned
Nov 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3025 OK Primary

Addresses

Primary practice location

4214 E 97TH St
Tulsa, OK 74137-4822

Mailing address

4214 E 97TH St
Tulsa, OK 74137-4822
Phone (918) 299-8495

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": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257638400000",
    "number": "1366779647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 E 97TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374822",
            "telephone_number": "918-299-8495",
            "fax_number": "918-299-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 E 97TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374822",
            "telephone_number": "918-299-8495",
            "fax_number": "918-299-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEKOFSKY",
        "first_name": "MARCY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-07",
        "last_updated": "2009-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2009; 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.